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General NPI Number Information
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NPI Number | 1770596306
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL SERVICES PLC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1450 KEMPSVILLE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-7302
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Country | US
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Telephone | 757-474-7470
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Fax | 757-474-7477
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Provider Business Mailing Address
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Address Line | 1446 KEMPSVILLE RD SUITE 204
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-7300
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Country | US
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Telephone | 757-474-7460
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Fax | 757-474-7455
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. CHERYL ANN LESKO
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Credential |
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Telephone | 757-474-7460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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