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General NPI Number Information
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NPI Number | 1710281803
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Entity Type | Organization
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Legal Business Name | CITY OF NORFOLK
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 7447 CENTRAL BUSINESS PARK DR
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City | NORFOLK
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State | VA
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Zip | 23513-2867
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Country | US
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Telephone | 757-756-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 7447 CENTRAL BUSINESS PARK DR
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City | NORFOLK
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State | VA
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Zip | 23513-2867
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Country | US
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Telephone | 757-756-5600
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. NATHAN WOODARD
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Credential | PHD
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Telephone | 757-756-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 24107004
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License Number State | VA
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