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General NPI Number Information
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NPI Number | 1265523054
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Entity Type | Organization
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Legal Business Name | RICHMOND PLASTIC SURGEONS
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 1630 WILKES RIDGE PKWY STE 201
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City | RICHMOND
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State | VA
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Zip | 23233-7460
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Country | US
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Telephone | 804-285-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 14401 SOMMERVILLE CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-6836
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Country | US
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Telephone | 804-285-4115
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | LEWIS T LADOCSI
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Credential | MD
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Telephone | 804-285-4115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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