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General NPI Number Information
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NPI Number | 1427290352
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Entity Type | Organization
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Legal Business Name | JAMES RIVER FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 11835 FISHING POINT DR SUITE 104
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2584
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Country | US
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Telephone | 757-599-5588
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Fax | 757-599-6893
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Provider Business Mailing Address
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Address Line | 1007 N FEDERAL HWY # 381
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1422
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Country | US
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Telephone | 757-271-4091
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Fax | 888-818-1230
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Authorized Official
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Title or Position | REVENUE MANAGER
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Name | MR. ERIC KROETSCH
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Credential |
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Telephone | 888-360-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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