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NPI 1225995053

NPI 1225995053 : RIVER RUN DENTAL OF EDINBURGH PLLC : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1225995053
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIVER RUN DENTAL OF EDINBURGH PLLC 
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Dates
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    Enumeration Date     |    01/05/2026
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    825 BATTLEFIELD BLVD S 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23322-6607
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    Country              |    US
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    Telephone            |    757-231-5291
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    825 BATTLEFIELD BLVD S 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23322-6607
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    Country              |    US
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    Telephone            |    757-231-5291
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    Fax                  |    
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Authorized Official
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    Title or Position    |    RCM DIRECTOR
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    Name                 |     KIM  DAVIS 
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    Credential           |    
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    Telephone            |    703-568-5773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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