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General NPI Number Information
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NPI Number | 1023346780
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Entity Type | Organization
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Legal Business Name | MIDDLEBROOK FAMILY MEDICINE PLC
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 36 CHERRY GROVE ROAD
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City | MIDDLEBROOK
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State | VA
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Zip | 24459
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Country | US
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Telephone | 540-887-2627
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Fax | 540-886-2726
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Provider Business Mailing Address
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Address Line | PO BOX 90
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City | MIDDLEBROOK
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State | VA
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Zip | 24459-0090
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Country | US
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Telephone | 540-887-2627
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Fax | 540-886-2726
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Authorized Official
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Title or Position | OWNER
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Name | JOHN O MARSH
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Credential | MD
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Telephone | 540-887-2627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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