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General NPI Number Information
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NPI Number | 1104542281
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Entity Type | Organization
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Legal Business Name | RICHMOND MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 5007C VICTORY BLVD STE 372
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City | YORKTOWN
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State | VA
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Zip | 23693-5601
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Country | US
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Telephone | 202-904-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 5007C VICTORY BLVD STE 372
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City | YORKTOWN
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State | VA
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Zip | 23693-5601
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Country | US
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Telephone | 202-904-3536
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING CONSULTANT
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Name | YAISA GOODWIN
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Credential |
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Telephone | 757-339-8798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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