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General NPI Number Information
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NPI Number | 1295723195
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Entity Type | Organization
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Legal Business Name | THOMAS G. POWELL, INC.
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 2034 DABNEY RD SUITE C
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City | RICHMOND
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State | VA
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Zip | 23230-3361
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Country | US
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Telephone | 804-649-9043
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Fax | 804-783-8212
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Provider Business Mailing Address
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Address Line | 2034 DABNEY RD SUITE C
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City | RICHMOND
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State | VA
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Zip | 23230-3361
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Country | US
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Telephone | 804-649-9043
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Fax | 804-783-8212
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Authorized Official
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Title or Position | CORP SEC. TREASURER
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Name | MICHAEL RICHARD MONTEIRO SR.
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Credential | CP
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Telephone | 804-649-9043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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