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General NPI Number Information
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NPI Number | 1700088721
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Entity Type | Organization
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Legal Business Name | RIVERSIDE REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 J CLYDE MORRIS BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1929
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Country | US
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Telephone | 757-594-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 856 MILLER CREEK LN
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-9467
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OBGYN RESIDENT
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Name | DR. ELISA V FERNANDEZ
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Credential | MD
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Telephone | 757-594-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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