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General NPI Number Information
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NPI Number | 1356220529
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Entity Type | Organization
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Legal Business Name | CASA FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 7605 FOREST AVE STE 412
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City | RICHMOND
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State | VA
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Zip | 23229-4941
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Country | US
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Telephone | 804-366-9581
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 CUTSHAW AVE
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City | RICHMOND
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State | VA
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Zip | 23230-3930
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Country | US
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Telephone | 434-964-6801
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. EDWARD LEWIS
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Credential | MD
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Telephone | 434-964-6801
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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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