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General NPI Number Information
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NPI Number | 1659474799
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Entity Type | Organization
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Legal Business Name | SENTARA HOSPITALS
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 2800 GODWIN BLVD
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City | SUFFOLK
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State | VA
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Zip | 23434-8038
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Country | US
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Telephone | 757-934-4840
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Fax | 757-934-4311
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Provider Business Mailing Address
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Address Line | 2800 GODWIN BLVD
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City | SUFFOLK
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State | VA
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Zip | 23434-8038
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Country | US
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Telephone | 757-934-4840
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Fax | 757-934-4311
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Authorized Official
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Title or Position | CFO
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Name | MELINDA SUMMERLIN HANCOCK
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Credential |
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Telephone | 757-455-7458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201001228
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License Number State | VA
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