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General NPI Number Information
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NPI Number | 1720205172
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Entity Type | Organization
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Legal Business Name | THE DOCTOR'S IN, PC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 3198 PACIFIC AVE STE 104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-2949
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Country | US
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Telephone | 757-428-1911
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Fax | 757-470-5977
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Provider Business Mailing Address
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Address Line | 3198 PACIFIC AVE STE 104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-2949
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Country | US
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Telephone | 757-428-1911
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Fax | 757-470-5977
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID L WERWATH
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Credential | M.D.
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Telephone | 757-428-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101034422
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License Number State | VA
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