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General NPI Number Information
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NPI Number | 1336570407
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Entity Type | Organization
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Legal Business Name | PEDIATRIC PARTNERS OF VIRGINIA, LLC
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 9606 PATTERSON AVE
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City | RICHMOND
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State | VA
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Zip | 23229-6027
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Country | US
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Telephone | 804-740-6171
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Fax |
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Provider Business Mailing Address
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Address Line | 9606 PATTERSON AVE
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City | RICHMOND
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State | VA
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Zip | 23229-6027
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Country | US
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Telephone | 804-740-6171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA SIMMELINK
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Credential | MD
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Telephone | 571-334-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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