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General NPI Number Information
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NPI Number | 1063047819
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Entity Type | Organization
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Legal Business Name | DOCTORS OFFICE LLC
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 609 E MAIN ST
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City | ABINGDON
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State | VA
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Zip | 24210-2339
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Country | US
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Telephone | 276-525-8144
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Fax | 276-258-5326
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Provider Business Mailing Address
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Address Line | 609 E MAIN ST
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City | ABINGDON
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State | VA
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Zip | 24210-2339
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Country | US
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Telephone | 276-525-8144
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Fax | 276-258-5326
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Authorized Official
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Title or Position | OWNER
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Name | LESTER FORD
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Credential |
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Telephone | 276-525-8144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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