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General NPI Number Information
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NPI Number | 1427362730
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Entity Type | Organization
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Legal Business Name | TOTAL FAMILY CARE PLLC
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 4500 RIVERSIDE DR SUITE B
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City | DANVILLE
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State | VA
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Zip | 24541-5167
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Country | US
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Telephone | 434-710-4305
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Fax | 434-202-5462
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Provider Business Mailing Address
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Address Line | PO BOX 10758
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City | DANVILLE
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State | VA
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Zip | 24543-5013
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Country | US
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Telephone | 434-710-4305
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA J HEATH
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Credential | D.O.
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Telephone | 434-728-2839
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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 | 0102201385
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License Number State | VA
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