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General NPI Number Information
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NPI Number | 1891004396
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Entity Type | Organization
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Legal Business Name | ZENITH HEALTHCARE SYSTEMS, INC.
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 825 CRAWFORD PKWY
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2301
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Country | US
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Telephone | 786-367-5480
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Fax |
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Provider Business Mailing Address
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Address Line | 7870 TIDEWATER DR SUITE 206 - 602
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City | NORFOLK
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State | VA
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Zip | 23505-3713
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Country | US
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Telephone | 786-367-5480
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. STEVEN LOPEZ
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Credential | MD
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Telephone | 786-367-5480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 20247
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License Number State | SC
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