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General NPI Number Information
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NPI Number | 1578531513
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Entity Type | Individual
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Provider Name | MICHAEL A MCCULLEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 4000 COLISEUM DR STE 445
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City | HAMPTON
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State | VA
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Zip | 23666-5906
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Country | US
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Telephone | 757-827-2127
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Fax | 757-827-2255
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Provider Business Mailing Address
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Address Line | 4000 COLISEUM DR STE 445
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City | HAMPTON
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State | VA
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Zip | 23666-5906
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Country | US
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Telephone | 757-827-2127
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Fax | 757-827-2255
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME128433
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101236764
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME128433
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License Number State | FL
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