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General NPI Number Information
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NPI Number | 1417980343
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Entity Type | Organization
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Legal Business Name | WICKHAM TITUS HENDRIX AND TURNER PTRS
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 2201 GROVE AVE
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City | RICHMOND
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State | VA
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Zip | 23220-4438
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Country | US
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Telephone | 804-359-1351
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Fax | 804-355-6625
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Provider Business Mailing Address
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Address Line | 2201 GROVE AVE
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City | RICHMOND
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State | VA
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Zip | 23220-4438
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Country | US
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Telephone | 804-359-1351
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Fax | 804-355-6625
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. TONYA LINN KEITH
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Credential |
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Telephone | 804-359-1351
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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 | 0101047848
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101049091
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101051667
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101056275
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101020690
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License Number State | VA
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