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General NPI Number Information
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NPI Number | 1578880662
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Entity Type | Organization
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Legal Business Name | J. KAYE HALSEY, M.D., PC
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 908 E JEFFERSON ST SUITE G1
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5375
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Country | US
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Telephone | 434-971-7991
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Fax | 434-296-2506
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Provider Business Mailing Address
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Address Line | 908 E JEFFERSON ST SUITE G1
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5375
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Country | US
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Telephone | 434-971-7991
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Fax | 434-296-2506
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Authorized Official
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Title or Position | M,D,
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Name | DR. JACQUELINE KAYE HALSEY
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Credential | M.D.
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Telephone | 434-971-7991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101032735
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License Number State | VA
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