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General NPI Number Information
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NPI Number | 1245709088
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Entity Type | Organization
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Legal Business Name | ACCESS HEALTHCARE MULTI-SPECIALTY GROUP, PLLC
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Dates
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Enumeration Date | 11/23/2018
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Last Update Date | 11/23/2018
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Provider Practice Location Address
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Address Line | 2103 GRAVES MILL RD
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City | FOREST
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State | VA
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Zip | 24551-2675
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Country | US
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Telephone | 434-316-7199
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Fax | 434-316-6185
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Provider Business Mailing Address
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Address Line | 2103 GRAVES MILL RD
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City | FOREST
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State | VA
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Zip | 24551-2675
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Country | US
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Telephone | 434-316-7199
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Fax | 434-316-6185
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW WILLIAM PIELECK
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Credential | DO
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Telephone | 434-316-7199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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