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General NPI Number Information
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NPI Number | 1770651838
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Entity Type | Organization
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Legal Business Name | VIRGINIA DEPARTMENT OF HEALTH
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 109 GOVERNOR ST 9TH FLOOR
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City | RICHMOND
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State | VA
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Zip | 23219-3623
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Country | US
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Telephone | 804-864-7800
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Fax | 804-864-7854
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Provider Business Mailing Address
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Address Line | 109 GOVERNOR ST 9TH FLOOR
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City | RICHMOND
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State | VA
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Zip | 23219-3623
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Country | US
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Telephone | 804-864-7800
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Fax | 804-864-7854
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Authorized Official
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Title or Position | DIRECTOR, VIRGINIA WIC PROGRAM
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Name | DONNA T. SEWARD
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Credential | CHE
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Telephone | 804-864-7850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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