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General NPI Number Information
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NPI Number | 1922144518
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Entity Type | Organization
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Legal Business Name | GEORGE G CHILDS MD PC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 608 DENBIGH BLVD SUITE 806
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4458
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Country | US
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Telephone | 757-874-8032
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Fax | 757-989-5528
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Provider Business Mailing Address
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Address Line | PO BOX 2999
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City | NEWPORT NEWS
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State | VA
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Zip | 23609-0999
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Country | US
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Telephone | 757-874-8032
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Fax | 757-989-5528
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE G CHILDS JR.
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Credential | MD
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Telephone | 757-874-8032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101039942
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101039942
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101039942
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License Number State | VA
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