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General NPI Number Information
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NPI Number | 1922170919
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Entity Type | Organization
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Legal Business Name | FOOT CARE OF HAMPTON ROADSPC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4317 AINSLIE CT S
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City | SUFFOLK
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State | VA
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Zip | 23434-7007
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Country | US
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Telephone | 757-255-0647
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Fax |
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Provider Business Mailing Address
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Address Line | 4317 AINSLIE CT S
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City | SUFFOLK
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State | VA
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Zip | 23434-7007
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Country | US
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Telephone | 757-255-0647
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Fax |
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Authorized Official
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Title or Position | PREASIDENT
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Name | GERALD DENNIS SCHEIMBERG
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Credential | D.P.M.
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Telephone | 757-255-0647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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