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General NPI Number Information
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NPI Number | 1669545471
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Entity Type | Organization
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Legal Business Name | VIRGINIA BEACH EYE CENTER PC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 465 N GREAT NECK RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4064
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Country | US
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Telephone | 757-481-2907
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Fax | 757-481-6486
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Provider Business Mailing Address
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Address Line | 465 N GREAT NECK RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4064
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Country | US
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Telephone | 757-481-2907
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Fax | 757-481-6486
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GINGER BAILEY
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Credential |
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Telephone | 757-481-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | OH698
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License Number State | VA
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