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General NPI Number Information
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NPI Number | 1942333919
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Entity Type | Organization
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Legal Business Name | RENEE DELAHOUSSAYE, M.D., P.C.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 716 DENBIGH BLVD SUITEC4
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4414
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Country | US
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Telephone | 757-872-9808
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Fax | 757-872-9751
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Provider Business Mailing Address
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Address Line | 716 DENBIGH BLVD SUITEC4
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4414
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Country | US
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Telephone | 757-872-9808
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Fax | 757-872-9751
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALADEE RENEE DELAHOUSSAYE
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Credential | M.D.
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Telephone | 757-872-9808
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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 | 0101050047
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License Number State | VA
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