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General NPI Number Information
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NPI Number | 1124055066
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Entity Type | Individual
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Provider Name | NORRIS A ROYSTON JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 8255 E MAIN ST
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City | MARSHALL
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State | VA
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Zip | 20115-3253
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Country | US
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Telephone | 540-364-1581
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Fax | 540-364-7314
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Provider Business Mailing Address
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Address Line | PO BOX 337 8255 E MAIN STREET
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City | MARSHALL
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State | VA
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Zip | 20116-0337
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Country | US
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Telephone | 540-364-1581
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Fax | 540-364-7314
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101023684
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License Number State | VA
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