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General NPI Number Information
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NPI Number | 1770088924
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Entity Type | Organization
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Legal Business Name | EEHIM INC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 714 J CLYDE MORRIS BLVD STE 160
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1500
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Country | US
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Telephone | 757-255-8546
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Fax |
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Provider Business Mailing Address
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Address Line | 714 J CLYDE MORRIS BLVD STE 160
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1500
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Country | US
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Telephone | 757-255-8546
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BRANDON BURR
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Credential | NP
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Telephone | 757-255-8546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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