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General NPI Number Information
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NPI Number | 1467488825
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Entity Type | Organization
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Legal Business Name | LEE'S HILL FAMILY PHYSICIANS, P.C.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 125 OLDE GREENWICH DR SUITE 220
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-4001
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Country | US
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Telephone | 540-898-8001
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Fax | 540-898-9426
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Provider Business Mailing Address
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Address Line | 125 OLDE GREENWICH DR SUITE 220
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-4001
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Country | US
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Telephone | 540-898-8001
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Fax | 540-898-9426
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DONNA GAMACHE
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Credential | M.D.
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Telephone | 540-898-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101049279
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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 | 0101840583
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License Number State | VA
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