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General NPI Number Information
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NPI Number | 1831411289
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Entity Type | Organization
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Legal Business Name | MARYVIEW HOSPITAL
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 3636 HIGH ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3236
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Country | US
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Telephone | 757-398-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 3636 HIGH ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3236
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Country | US
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Telephone | 757-398-2285
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEPHAN F QUIRICONI
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Credential |
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Telephone | 804-281-8301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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