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General NPI Number Information
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NPI Number | 1477677748
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Entity Type | Organization
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Legal Business Name | RICHARD A. KAYE, D.O.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2790 GODWIN BLVD SUITE 300
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City | SUFFOLK
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State | VA
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Zip | 23434-8151
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Country | US
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Telephone | 757-925-1433
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Fax | 757-925-4567
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Provider Business Mailing Address
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Address Line | 2790 GODWIN BLVD SUITE 300
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City | SUFFOLK
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State | VA
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Zip | 23434-8151
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Country | US
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Telephone | 757-925-1433
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Fax | 757-925-4567
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BARBARA HAVERTY
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Credential |
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Telephone | 757-925-1433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0102037142
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License Number State | VA
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