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General NPI Number Information
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NPI Number | 1487928206
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Entity Type | Organization
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Legal Business Name | SOUTH RIDING HEALTH CONSULTING, LLC
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 42982 SPYDER PL
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City | SOUTH RIDING
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State | VA
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Zip | 20152-3460
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Country | US
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Telephone | 703-542-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 42982 SPYDER PL
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City | SOUTH RIDING
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State | VA
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Zip | 20152-3460
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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 | CEO
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Name | JUN LI
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Credential |
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Telephone | 703-542-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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