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General NPI Number Information
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NPI Number | 1871684563
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Entity Type | Organization
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Legal Business Name | HAMPTON ROADS GASTROENTEROLOGY, P.C.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 303 BUTLER FARM ROAD, SUITE 103
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-826-7785
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Fax | 757-826-9028
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Provider Business Mailing Address
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Address Line | 303 BUTLER FARM ROAD, SUITE 103
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-826-7785
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Fax | 757-826-9028
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Authorized Official
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Title or Position | PRESIDENT
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Name | HASSAN ADNAN HASSAN
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Credential | M.D.
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Telephone | 757-826-7785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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