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General NPI Number Information
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NPI Number | 1467564690
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Entity Type | Organization
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Legal Business Name | CARROLL FAMILY PHYSICIANS INC
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 523 NORTH MAIN STREET CARROLL FAMILY PHYSICIANS INC
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City | HILLSVILLE
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State | VA
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Zip | 24343
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Country | US
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Telephone | 276-768-4311
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Fax | 276-728-0901
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Provider Business Mailing Address
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Address Line | PO BOX 4127 CARROLL FAMILY PHYSICIANS INC
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City | ROANOKE
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State | VA
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Zip | 24343
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Country | US
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Telephone | 540-981-0283
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Fax | 540-344-7154
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES HENRY DEBOE JR.
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Credential | MD
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Telephone | 276-728-4311
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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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