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General NPI Number Information
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NPI Number | 1548582463
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Entity Type | Organization
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Legal Business Name | CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 6015 POPLAR HALL DR
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City | NORFOLK
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State | VA
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Zip | 23502-3819
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Country | US
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Telephone | 757-455-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 COLISEUM DR
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City | HAMPTON
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State | VA
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Zip | 23666-5963
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHESTER HART
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Credential |
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Telephone | 757-736-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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