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General NPI Number Information
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NPI Number | 1801245329
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Entity Type | Organization
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Legal Business Name | USN
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 3602 TRAVERSE CIRCLE
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 850-381-9724
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Fax |
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Provider Business Mailing Address
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Address Line | 3602 TRAVERSE CIR
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City | SUFFOLK
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State | VA
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Zip | 23435-3216
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Country | US
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Telephone | 850-381-9724
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Fax |
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Authorized Official
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Title or Position | SUBMARINE IDC
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Name | BRETT NICHOLAS TURANO
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Credential |
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Telephone | 850-381-9724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State | CT
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