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General NPI Number Information
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NPI Number | 1376938530
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Entity Type | Individual
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Provider Name | EDWARD CHARLES OLDFIELD IV M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2015
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 885 KEMPSVILLE RD STE 114
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City | NORFOLK
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State | VA
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Zip | 23502-3800
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Country | US
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Telephone | 757-466-0165
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Fax |
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Provider Business Mailing Address
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Address Line | 10770 COLUMBIA PIKE STE 400
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City | SILVER SPRING
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State | MD
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Zip | 20901-4462
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Country | US
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Telephone | 215-589-9012
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Fax | 833-705-6301
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101264987
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101264987
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License Number State | VA
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