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General NPI Number Information
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NPI Number | 1235173204
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Entity Type | Individual
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Provider Name | CHRISTOPHER M VISCOMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 1901 TATE SPRINGS RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-1109
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Country | US
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Telephone | 434-200-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 TALL OAKS DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-8114
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Country | US
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Telephone | 802-999-2051
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Fax | 802-847-5324
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 042-0008638
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101269832
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License Number State | VA
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