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General NPI Number Information
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NPI Number | 1285731463
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Entity Type | Organization
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Legal Business Name | LITTON FAMILY MEDICINE PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 1800 COMBS RD SUITE 7
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City | PENNINGTON GAP
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State | VA
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Zip | 24277-1808
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Country | US
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Telephone | 276-546-4894
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Fax | 276-546-4896
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Provider Business Mailing Address
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Address Line | PO BOX 646 1800 COMBS ROAD SUITE 7
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City | PENNINGTON GAP
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State | VA
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Zip | 24277-0646
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Country | US
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Telephone | 276-546-4894
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Fax | 276-546-4896
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN SCOTT LITTON JR.
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Credential | M.D.
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Telephone | 276-546-4894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101232419
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License Number State | VA
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