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General NPI Number Information
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NPI Number | 1174463244
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Entity Type | Organization
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Legal Business Name | LIV SPECIALTY CARE CT PC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 3035 VALLEY AVE STE 104A
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City | WINCHESTER
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State | VA
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Zip | 22601-2657
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Country | US
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Telephone | 540-329-2366
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 VALLEY AVE STE 104A
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City | WINCHESTER
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State | VA
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Zip | 22601-2657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WOODRUFF HALL BAUM
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Credential |
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Telephone | 646-568-0193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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