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General NPI Number Information
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NPI Number | 1467278655
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Entity Type | Organization
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Legal Business Name | SELECTSYNC MEDICAL, PA
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 504 N MEADOW ST
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City | RICHMOND
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State | VA
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Zip | 23220-2804
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Country | US
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Telephone | 601-559-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 14317 REVELRY BLVD
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-5500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHET THARPE
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Credential | MD
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Telephone | 601-559-6188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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