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General NPI Number Information
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NPI Number | 1932507985
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE SPECIALISTS, INC
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 930 MAJESTIC AVE SUITE 220
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City | NORFOLK
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State | VA
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Zip | 23504-4055
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Country | US
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Telephone | 757-942-8020
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Fax | 757-942-8015
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Provider Business Mailing Address
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Address Line | 930 MAJESTIC AVE SUITE 220
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City | NORFOLK
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State | VA
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Zip | 23504-4055
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Country | US
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Telephone | 757-942-8020
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Fax | 757-942-8015
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Authorized Official
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Title or Position | BOARD OF MANAGERS
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Name | DR. JAMES EDWARD NEWBY II
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Credential | M.D
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Telephone | 757-942-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | VA
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