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General NPI Number Information
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NPI Number | 1669456166
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Entity Type | Individual
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Provider Name | MARCIA DENISE CARNEY MD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 4433 CORPORATION LN CORPORATION IV SUITE 195
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3351
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Country | US
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Telephone | 757-227-6340
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Fax | 757-227-6350
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Provider Business Mailing Address
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Address Line | 4433 CORPORATION LN SUITE 195
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3351
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Country | US
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Telephone | 757-227-6340
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Fax | 757-227-6350
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101033260
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License Number State | VA
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