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General NPI Number Information
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NPI Number | 1982718284
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Entity Type | Organization
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Legal Business Name | HAMPTON ROADS NEUROPSYCHOLOGY
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1604 HILLTOP WEST EXECUTIVE CENTER SUITE 216
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451
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Country | US
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Telephone | 757-498-9585
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Fax | 757-468-1685
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Provider Business Mailing Address
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Address Line | 1604 HILLTOP WEST EXECUTIVE CENTER SUITE 216
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451
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Country | US
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Telephone | 757-498-9585
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Fax | 757-468-1685
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | SCOTT W SAUTTER
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Credential | PH.D
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Telephone | 757-498-9585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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