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General NPI Number Information
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NPI Number | 1770765612
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Entity Type | Organization
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Legal Business Name | DEMC, INC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 736 BATTLEFIELD BLVD N
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4941
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Country | US
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Telephone | 757-312-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2028
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City | CHESAPEAKE
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State | VA
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Zip | 23327-2028
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Country | US
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Telephone | 757-312-6100
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. PAUL D CHIDESTER
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Credential | MD
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Telephone | 757-312-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number |
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License Number State |
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