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General NPI Number Information
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NPI Number | 1427794692
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Entity Type | Organization
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Legal Business Name | RICHMOND INTEGRATIVE AND FUNCTIONAL MEDICINE
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 1 PARK WEST CIR
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-5551
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Country | US
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Telephone | 804-893-3920
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 MANAKIN RD
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City | MANAKIN SABOT
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State | VA
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Zip | 23103-3143
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Country | US
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Telephone | 804-893-3920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON NATHAN HARTMAN
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Credential | MD
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Telephone | 804-530-1018
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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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