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General NPI Number Information
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NPI Number | 1023084936
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Entity Type | Organization
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Legal Business Name | WATAUGA RADIOLOGICAL SERVICES PA
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 5711 CHAMBERLAYNE RD
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City | RICHMOND
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State | VA
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Zip | 23227-2415
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Country | US
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Telephone | 804-262-6900
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Fax | 804-266-3530
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Provider Business Mailing Address
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Address Line | 5711 CHAMBERLAYNE RD
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City | RICHMOND
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State | VA
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Zip | 23227-2415
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Country | US
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Telephone | 804-262-6900
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Fax | 804-266-3530
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD WAYNE GELDMEIER
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Credential | M.D.
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Telephone | 828-264-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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