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General NPI Number Information
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NPI Number | 1396118543
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Entity Type | Organization
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Legal Business Name | STILLPOINT OSTEOPATHIC MEDICINE
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 12/21/2015
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Provider Practice Location Address
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Address Line | 1999 S MAIN ST SUITE 305-A
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City | BLACKSBURG
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State | VA
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Zip | 24060-6634
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Country | US
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Telephone | 540-552-2302
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Fax | 540-552-2350
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Provider Business Mailing Address
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Address Line | 1999 S MAIN ST SUITE 305-A
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City | BLACKSBURG
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State | VA
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Zip | 24060-6634
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Country | US
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Telephone | 540-552-2302
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Fax | 540-552-2350
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. KAREN K FRIED
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Credential | DO
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Telephone | 217-480-0448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 0102204075
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 0102204075
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License Number State | VA
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