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General NPI Number Information
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NPI Number | 1306884820
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Entity Type | Organization
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Legal Business Name | FAMILY PRACTICE ASSOCIATES OF CHESTERFIELD PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 13911 ST FRANCIS BLVD SUITE 101
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-3256
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Country | US
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Telephone | 804-320-3999
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Fax | 804-323-9383
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Provider Business Mailing Address
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Address Line | 13911 ST FRANCIS BLVD SUITE 101
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-3256
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Country | US
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Telephone | 804-320-3999
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Fax | 804-323-9383
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. SANDRA P STARLING
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Credential |
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Telephone | 804-320-3999
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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 |
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License Number State |
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