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General NPI Number Information
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NPI Number | 1578692919
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Entity Type | Organization
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Legal Business Name | UROLOGY OF VIRGINIA PC
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 676 BATTLEFIELD BLVD N STE B
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0306
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Country | US
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Telephone | 757-457-5480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13208
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City | NORFOLK
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State | VA
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Zip | 23506-0208
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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 | CBO DIRECTOR
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Name | LORI DELBRIDGE
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Credential |
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Telephone | 757-466-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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