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1427061340
RENAISSANCE PEDIATRICS PC
CHESAPEAKE, VA
NPI
1427061340
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Entity Type
Organization
Authorized Contact
SANDRA S BAUCOM
President
757-488-2223
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-08-14
Last Update Date
2020-08-22
Business Address
RENAISSANCE PEDIATRICS PC
4012 RAINTREE RD SUITE 200A
CHESAPEAKE, VA 23321-3741
Phone number: 757-488-2223
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Mailing Address
RENAISSANCE PEDIATRICS PC
4012 RAINTREE RD SUITE 200A
CHESAPEAKE, VA 23321-3741
Phone number: 757-488-2223
Copy
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