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General NPI Number Information
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NPI Number | 1710291927
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Entity Type | Organization
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Legal Business Name | VANN VIRGINIA CENTER FOR ORTHOPAEDICS
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 1975 GLENN MITCHELL DR SUITE 300
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-0167
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Country | US
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Telephone | 757-368-3284
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Fax | 757-368-3902
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Provider Business Mailing Address
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Address Line | 230 CLEARFIELD AVE SUITE 124
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1832
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Country | US
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Telephone | 757-321-3300
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Fax | 757-321-3332
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Authorized Official
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Title or Position | CFO PRACTICE ADMINISTRATOR
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Name | MR. CECIL FM MORRIS IV
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Credential |
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Telephone | 757-321-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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