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General NPI Number Information
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NPI Number | 1467704551
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Entity Type | Organization
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Legal Business Name | CHS VIRGINIA MEDICAL, PC
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 2325 BELLS RD
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City | RICHMOND
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State | VA
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Zip | 23234-2274
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Country | US
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Telephone | 804-274-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 MARYLAND WAY STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-4948
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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 | EXECUTIVE VP
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Name | STUART CLARK
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Credential |
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Telephone | 615-577-4927
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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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