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General NPI Number Information
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NPI Number | 1053560219
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Entity Type | Organization
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Legal Business Name | WIGGINS & COMPANY'S
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 1002 PLEASANT ST
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City | RICHMOND
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State | VA
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Zip | 23223-5943
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Country | US
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Telephone | 804-909-2942
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Fax | 804-328-2289
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Provider Business Mailing Address
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Address Line | 1002 PLEASANT ST
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City | RICHMOND
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State | VA
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Zip | 23223-5943
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Country | US
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Telephone | 804-909-9429
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Fax | 804-328-2289
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Authorized Official
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Title or Position | CERTIFIED SURGICAL ASSISTANT
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Name | DWIGHT V. DEADMON
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Credential | C.S.A.
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Telephone | 804-328-2289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 3196
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License Number State | VA
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