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General NPI Number Information
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NPI Number | 1619076916
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Entity Type | Organization
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Legal Business Name | SHORE HEALTH SERVICES INC.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 20480 MARKET ST
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City | ONANCOCK
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State | VA
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Zip | 23417
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Country | US
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Telephone | 757-302-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 608 DENBIGH BLVD STE 800
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4487
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Country | US
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Telephone | 757-875-7545
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Fax | 757-875-7553
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Authorized Official
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Title or Position | CFO
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Name | MR. WALTER W AUSTIN JR.
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Credential |
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Telephone | 757-875-7545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | H1901
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License Number State | VA
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