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General NPI Number Information
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NPI Number | 1669137121
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Entity Type | Organization
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Legal Business Name | CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 401 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507
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Country | US
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Telephone | 757-668-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 601 CHILDRENS LN
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City | NORFOLK
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State | VA
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Zip | 23507-1910
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Country | US
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Telephone | 757-668-9647
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Fax |
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Authorized Official
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Title or Position | SENIOR VP CFO
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Name | KATHRYN J ABSHIRE
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Credential |
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Telephone | 757-668-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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