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General NPI Number Information
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NPI Number | 1306056825
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Entity Type | Organization
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Legal Business Name | NEW RIVER VALLEY PODIATRY & FOOT SURGERY PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 210 PROFESSIONAL PARK DR SE SUITE 13
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City | BLACKSBURG
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State | VA
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Zip | 24060-6680
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Country | US
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Telephone | 340-951-3338
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Fax | 340-951-1738
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Provider Business Mailing Address
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Address Line | 210 PROFESSIONAL PARK DR SE STE 13
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City | BLACKSBURG
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State | VA
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Zip | 24060-6680
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Country | US
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Telephone | 340-951-3338
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Fax | 340-951-1738
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Authorized Official
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Title or Position | OFFICER
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Name | MRS. MARGARET L MEREDITH
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Credential | DPM
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Telephone | 340-951-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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