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General NPI Number Information
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NPI Number | 1659441814
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Entity Type | Organization
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Legal Business Name | NORFOLK COMMUNITY HEALTH CENTER INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1401 TIDEWATER DRIVE STE 1
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City | NORFOLK
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State | VA
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Zip | 23504
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Country | US
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Telephone | 757-623-0095
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Fax | 757-623-1203
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Provider Business Mailing Address
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Address Line | 1401 TIDEWATER DRIVE STE 1
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City | NORFOLK
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State | VA
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Zip | 23504
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Country | US
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Telephone | 757-623-0095
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Fax | 757-623-1203
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILLIP DANIEL BROOKS
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Credential | ADM
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Telephone | 757-623-0095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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