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General NPI Number Information
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NPI Number | 1184938771
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Entity Type | Organization
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Legal Business Name | ABINGDON PHYSICIAN PARTNERS
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 3170 LINDEN DR STE 3
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City | BRISTOL
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State | VA
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Zip | 24202-5955
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Country | US
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Telephone | 276-466-0355
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Fax | 276-466-0016
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Provider Business Mailing Address
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Address Line | 3170 LINDEN DR STE 3
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City | BRISTOL
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State | VA
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Zip | 24202-5955
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Country | US
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Telephone | 276-466-0355
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Fax | 276-466-0016
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Authorized Official
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Title or Position | CFO
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Name | TIMOTHY G EVANS
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Credential |
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Telephone | 276-619-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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