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General NPI Number Information
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NPI Number | 1043917966
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Entity Type | Organization
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Legal Business Name | JLCMD PLLC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 6900 FOREST AVE STE 115
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City | RICHMOND
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State | VA
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Zip | 23230-1730
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Country | US
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Telephone | 804-893-8710
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Fax |
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Provider Business Mailing Address
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Address Line | 3808 THAMESFORD WAY
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City | HENRICO
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State | VA
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Zip | 23233-1755
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Country | US
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Telephone | 804-240-9312
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUDY CHIN
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Credential |
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Telephone | 804-240-9312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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