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General NPI Number Information
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NPI Number | 1104977289
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CLINIC OF CENTRAL VIRGINIA P C
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 20 P G A DR STE 203
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City | STAFFORD
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State | VA
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Zip | 22554-8218
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Country | US
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Telephone | 540-370-1600
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Fax | 540-370-1699
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Provider Business Mailing Address
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Address Line | PO BOX 1750
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City | STAFFORD
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State | VA
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Zip | 22555-1750
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Country | US
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Telephone | 540-370-1600
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Fax | 540-370-1699
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DAVID BIDDULPH
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Credential |
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Telephone | 540-370-4330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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