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General NPI Number Information
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NPI Number | 1164737722
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE CONSULTING, LLC
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Dates
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Enumeration Date | 08/08/2010
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 2306 BURROUGHS ST
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City | RICHMOND
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State | VA
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Zip | 23235-3164
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Country | US
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Telephone | 804-222-3334
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Fax | 804-272-6350
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Provider Business Mailing Address
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Address Line | 2306 BURROUGHS ST
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City | RICHMOND
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State | VA
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Zip | 23235-3164
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Country | US
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Telephone | 804-222-3334
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Fax | 804-272-6350
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH S GALESKI III
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Credential | M.D.
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Telephone | 804-222-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101029562
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License Number State | VA
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