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General NPI Number Information
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NPI Number | 1306815105
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Entity Type | Individual
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Provider Name | BRUCE HORATIO WARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 505 W LEIGH ST SUITE 205
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City | RICHMOND
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State | VA
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Zip | 23220-3200
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Country | US
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Telephone | 804-788-0004
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Fax | 804-788-0120
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Provider Business Mailing Address
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Address Line | 505 W LEIGH ST
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City | RICHMOND
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State | VA
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Zip | 23220-3200
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Country | US
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Telephone | 804-562-2769
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Fax | 804-269-3406
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101034738
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101034738
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License Number State | VA
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