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General NPI Number Information
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NPI Number | 1700248796
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Entity Type | Organization
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Legal Business Name | HQ SURGICAL
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 905 HATHAWAY CT
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7622
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Country | US
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Telephone | 708-487-6556
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Fax |
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Provider Business Mailing Address
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Address Line | 905 HATHAWAY CT
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7622
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Country | US
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Telephone | 708-487-6556
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | RHONA ISAAC
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Credential |
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Telephone | 708-487-6556
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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 | 0136000031
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License Number State | VA
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