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General NPI Number Information
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NPI Number | 1386794725
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Entity Type | Individual
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Provider Name | RICHARD L ANTHONY DDS
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 PROFESSIONAL PARK DR SE STE 7
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City | BLACKSBURG
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State | VA
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Zip | 24060-6669
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Country | US
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Telephone | 540-552-8870
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Fax | 540-552-7757
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Provider Business Mailing Address
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Address Line | 1207 VILLAGE WAY S
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City | BLACKSBURG
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State | VA
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Zip | 24060-1795
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Country | US
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Telephone | 540-961-0909
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Fax | 540-552-7757
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401008940
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License Number State | VA
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