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NPI Code Detail

MEDICARE: DR. JANET SIMPSON DINGMAN ED D

MEDICARE: DR. JANET SIMPSON DINGMAN ED D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor0701000076VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12279808OTHERANTHEM

General Provider Information

NPI Number : 1366423873
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET SIMPSON DINGMAN ED D
Provider Business Mailing Address
First Line : 1500 E LITTLE CREEK RD
Second Line : STE 205
City : NORFOLK
State : VA
Zip : 23518-4137
Country : US
Telephone Number : 757-587-4744
Fax Number : 757-587-4947
Provider Business Practice Location Address
First Line : 1500 E LITTLE CREEK RD
Second Line : STE 205
City : NORFOLK
State : VA
Zip : 23518-4137
Country : US
Telephone Number : 757-587-4744
Fax Number : 757-587-4947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 07/08/2007

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