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General NPI Number Information
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NPI Number | 1376949255
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Entity Type | Organization
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Legal Business Name | GLORIA E WARD, DDS, MS, MIS, PC
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 3701 WESTERRE PKWY SUITE D
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City | RICHMOND
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State | VA
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Zip | 23233-1326
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Country | US
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Telephone | 804-270-7940
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Fax | 804-270-7941
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Provider Business Mailing Address
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Address Line | 3701 WESTERRE PKWY SUITE D
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City | RICHMOND
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State | VA
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Zip | 23233-1326
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Country | US
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Telephone | 804-270-7940
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Fax | 804-270-7941
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Authorized Official
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Title or Position | OWNER
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Name | DR. GLORIA E WARD
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Credential | DDS, MS, MIS, PC
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Telephone | 804-270-7940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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