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General NPI Number Information
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NPI Number | 1962758474
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Entity Type | Organization
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Legal Business Name | MARYVIEW HOSPITAL
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 3802 POPLAR HILL RD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5531
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Country | US
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Telephone | 757-483-4335
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Fax | 757-483-9350
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Provider Business Mailing Address
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Address Line | 3802 POPLAR HILL RD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5531
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Country | US
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Telephone | 757-483-4335
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Fax | 757-483-9350
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL KERNER
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Credential |
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Telephone | 757-673-2959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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