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General NPI Number Information
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NPI Number | 1609162270
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Entity Type | Organization
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Legal Business Name | RIVERSIDE MEDICAL EDUCATION
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 12200 WARWICK BLVD STE 490A
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-2548
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Country | US
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Telephone | 757-534-6111
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Fax | 757-534-6096
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Provider Business Mailing Address
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Address Line | 12200 WARWICK BLVD STE 490A
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-2548
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Country | US
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Telephone | 757-534-6111
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Fax | 757-534-6096
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Authorized Official
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Title or Position | PROGRAM COORDINATOR
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Name | MRS. CINDY HOGGE
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Credential |
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Telephone | 757-534-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0116023621
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License Number State | VA
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