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General NPI Number Information
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NPI Number | 1548911464
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Entity Type | Organization
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Legal Business Name | SENTARA HOSPITALS
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 3000 COLISEUM DR STE 120
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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 | 757-736-2078
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 COLISEUM DR STE 120
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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 | 757-736-0168
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Fax |
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Authorized Official
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Title or Position | EVP & CFO
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Name | ROBERT A BROERMANN
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Credential |
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Telephone | 757-455-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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