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General NPI Number Information
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NPI Number | 1619950334
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Entity Type | Individual
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Provider Name | ELAINE S COMER PT
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 637 KINGSBOROUGH SQ SUITES F&G
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4944
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Country | US
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Telephone | 757-754-7755
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Fax | 757-548-0647
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Provider Business Mailing Address
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Address Line | PO BOX 5982
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City | VIRGINIA BEACH
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State | VA
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Zip | 23471-0982
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Country | US
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Telephone | 757-547-7554
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Fax | 757-548-0647
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 23050003032
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License Number State | VA
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