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General NPI Number Information
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NPI Number | 1023353893
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Entity Type | Organization
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Legal Business Name | ROYAL OAK MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 940 W LEE HWY
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City | CHILHOWIE
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State | VA
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Zip | 24319-4615
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Country | US
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Telephone | 276-646-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 TERRACE DR
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City | MARION
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State | VA
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Zip | 24354-4138
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Country | US
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Telephone | 276-783-1827
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Fax | 276-783-2879
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Authorized Official
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Title or Position | OWNER
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Name | DAVE G PARKER
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Credential | DO
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Telephone | 276-783-1827
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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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