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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Agencies Public Health or Welfare

Provider NPI: 1295795078

Organization Information:
Organization Name:  COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Organization is not Subpart
Authorized Official:  DAVID  CHANG  HEALTH DIRECTOR  757-393-8582

Practice Location:
1701 HIGH STREET SUITE 102 PORTSMOUTH, VA 23704 US
Tel: 757-393-8585  Fax: 757-393-8027

Business Mailing Address:
1701 HIGH STREET SUITE 102 PORTSMOUTH, VA 23704 US
Tel: 757-393-8585  Fax: 757-393-8027

NPI Information:
NPI: 1295795078
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251K00000XAgencies
Public Health or Welfare
VA

Other Provider Identifiers:

IssuerNumberStateType
49-7512-0VA05



American Medical Association 2012 taxonomy code information

Code: 251K00000X

Type:

Classification:



Definition:



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