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General NPI Number Information
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NPI Number | 1275079246
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Entity Type | Organization
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Legal Business Name | TAPPAHANNOCK PHYSICIANS, INC.
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 721 CHARLOTTE ST.
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-9308
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Country | US
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Telephone | 804-925-2566
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Fax |
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Provider Business Mailing Address
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Address Line | 721 CHARLOTTE ST.
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-9308
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Country | US
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Telephone | 804-925-2566
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Fax |
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Authorized Official
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Title or Position | OFFICE EXECUTIVE
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Name | MS. TIFFANY HARMON
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Credential |
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Telephone | 804-925-2566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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