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Contact Information

PAUL J AVERELL, IDC
1550 TOMCAT BLVD
VIRGINIA BEACH, VA23460
 Phone: 757-314-7198
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for

NPI Number 1578593943
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/03/2006
Last updated 07/08/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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