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NPI 1790706661

NPI 1790706661 : OYSTER POINT FAMILY PRACTICE, INC : NEWPORT NEWS, VA

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General NPI Number Information
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    NPI Number           |    1790706661
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    Entity Type          |    Organization 
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    Legal Business Name  |    OYSTER POINT FAMILY PRACTICE, INC 
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Dates
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    Enumeration Date     |    07/23/2006
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    Last Update Date     |    11/09/2022
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Provider Practice Location Address
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    Address Line         |    704 THIMBLE SHOALS BLVD SUITE 700
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4544
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    Country              |    US
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    Telephone            |    757-873-2000
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    Fax                  |    757-873-2003
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Provider Business Mailing Address
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    Address Line         |    704 THIMBLE SHOALS BLVD SUITE 700
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4544
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    Country              |    US
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    Telephone            |    757-873-2000
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    Fax                  |    757-873-2003
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Authorized Official
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    Title or Position    |    PRACTICE ADMINISTRATOR
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    Name                 |    MRS. HOLLY  BABB 
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    Credential           |    
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    Telephone            |    757-586-5256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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