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General NPI Number Information
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NPI Number | 1982630307
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Entity Type | Individual
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Provider Name | IVOR PURCHAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 7460 TIDEWATER DR
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City | NORFOLK
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State | VA
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Zip | 23505-3845
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Country | US
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Telephone | 757-664-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 4537 MIARFIELD ARC
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City | CHESAPEAKE
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State | VA
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Zip | 23321-4263
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Country | US
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Telephone | 757-753-7164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101034240
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 0101034240
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License Number State | VA
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