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General NPI Number Information
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NPI Number | 1346356813
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Entity Type | Organization
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Legal Business Name | RAPPAHANNOCK FAMILY HEALTHCARE, INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 120 EXECUTIVE CENTER PKWY
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3100
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Country | US
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Telephone | 540-374-5200
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Fax | 540-373-0942
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Provider Business Mailing Address
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Address Line | 120 EXECUTIVE CENTER PKWY STE 215
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3100
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Country | US
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Telephone | 540-374-5200
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Fax | 540-374-0378
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAFAEL O. HERNANDEZ
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Credential | MD
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Telephone | 540-374-5097
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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 | 0102036807
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License Number State | VA
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