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General NPI Number Information
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NPI Number | 1700822723
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Entity Type | Organization
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Legal Business Name | MARYVIEW HOSPITAL
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 184 BUSINESS PARK DR SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6533
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Country | US
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Telephone | 757-213-7902
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Fax | 757-213-7903
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Provider Business Mailing Address
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Address Line | 184 BUSINESS PARK DR SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6533
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Country | US
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Telephone | 757-213-7902
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Fax | 757-213-7903
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARBARA G BALLARD
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Credential | MPM
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Telephone | 757-213-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0207008454
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0206009280
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License Number State | VA
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