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Organization

CHESAPEAKE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA A ROGERS MS CCC SLP (EXECUTIVE VICE PRESIDENT)
(703) 924-4148
Entity
Organization

Contact information

Practice address
6506 LOISDALE RD, STE 300, SPRINGFIELD, VA 22150-1824
(703) 924-4100
(703) 922-0638
Mailing address
6506 LOISDALE RD, STE 300, SPRINGFIELD, VA 22150-1824
(703) 924-4100
(703) 922-0638

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
291751
AMERICGRP
Enumeration date
02/02/2006
Last updated
08/22/2020
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