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General NPI Number Information
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NPI Number | 1316410798
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Entity Type | Organization
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Legal Business Name | DOCTORS OF WILLIAMSBURG, PC
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 5239 MONTICELLO AVE COURTHOUSE COMMONS, SUITES B & C
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-8213
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Country | US
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Telephone | 757-279-2999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5181 DOCTORS OF WILLIAMSBURG, PC
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5202
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Country | US
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Telephone | 757-279-2999
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Fax | 757-279-8189
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. ANNA STANKIEWICZ
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Credential | MD
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Telephone | 757-279-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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