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General NPI Number Information
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NPI Number | 1043286818
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Entity Type | Individual
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Provider Name | ERICA MADLOCK ROYAL MD
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 05/08/2022
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Provider Practice Location Address
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Address Line | 826 DAVIS ST
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City | BLACKSBURG
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State | VA
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Zip | 24060-7010
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Country | US
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Telephone | 540-443-0500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6163
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City | GLEN ALLEN
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State | VA
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Zip | 23058-6163
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Country | US
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Telephone | 804-269-6889
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0101225372
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License Number State | VA
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