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General NPI Number Information
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NPI Number | 1952069957
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Entity Type | Organization
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Legal Business Name | PAIGE CHRISTINE LLC
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 1309 JAMESTOWN RD STE 102
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3380
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Country | US
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Telephone | 757-585-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 504 23RD ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-4006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN'S ASSISTANT
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Name | PAIGE C PROCTOR
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Credential | PA
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Telephone | 757-576-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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