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General NPI Number Information
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NPI Number | 1033485925
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Entity Type | Organization
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Legal Business Name | DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 225 HOSPITAL DR
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City | GALAX
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State | VA
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Zip | 24333-2228
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Country | US
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Telephone | 276-236-6909
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Fax | 276-236-7179
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Provider Business Mailing Address
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Address Line | 225 HOSPITAL DR
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City | GALAX
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State | VA
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Zip | 24333-2228
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Country | US
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Telephone | 276-236-6909
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Fax | 276-236-7179
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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