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General NPI Number Information
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NPI Number | 1750604443
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Entity Type | Organization
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Legal Business Name | VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1309 EXECUTIVE BLVD STE 100
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3671
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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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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 | 757-321-3383
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Fax | 757-321-3332
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Authorized Official
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Title or Position | CREDENTIALING
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Name | DANIELLE JACOT GESICK
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Credential |
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Telephone | 757-321-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305002825
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 0119003467
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101041556
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License Number State | VA
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