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General NPI Number Information
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NPI Number | 1376533810
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Entity Type | Organization
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Legal Business Name | NEONATOLOGY CENTER OF WINCHESTER
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 1840 AMHERST ST SUITE 4C
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City | WINCHESTER
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State | VA
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Zip | 22601-2808
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Country | US
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Telephone | 540-536-7897
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Fax | 540-536-7843
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Provider Business Mailing Address
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Address Line | PO BOX 1910
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City | WINCHESTER
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State | VA
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Zip | 22604-8060
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Country | US
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Telephone | 866-878-4221
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Fax | 540-536-4359
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERESA L CLAWSON
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Credential | MD
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Telephone | 540-536-7897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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