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General NPI Number Information
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NPI Number | 1356426365
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Entity Type | Organization
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Legal Business Name | BAGBY & SHAW, INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 5405 PATTERSON AVE
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City | RICHMOND
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State | VA
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Zip | 23226-2003
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Country | US
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Telephone | 804-282-6695
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Fax |
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Provider Business Mailing Address
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Address Line | 5405 PATTERSON AVE
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City | RICHMOND
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State | VA
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Zip | 23226-2003
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Country | US
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Telephone | 804-282-6695
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER SHAW
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Credential |
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Telephone | 804-282-6695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1101 000441
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License Number State | VA
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