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General NPI Number Information
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NPI Number | 1992775381
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Entity Type | Individual
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Provider Name | CHRISTOPHER MARK CULP MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NAVAL MEDICAL CENTER 620 JOHN PAUL JONES CIRCLE
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City | PORTSMOUTH
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State | VA
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Zip | 23708
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Country | US
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Telephone | 757-953-0679
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 DOWNSHIRE CHASE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-6154
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Country | US
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Telephone | 757-953-5528
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 031230
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License Number State | GA
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