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General NPI Number Information
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NPI Number | 1497853683
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Entity Type | Organization
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Legal Business Name | ARTHRITIS AND RHEUMATIC DISEASES
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 329 MCLAWS CIR
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6337
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Country | US
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Telephone | 757-220-8579
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Fax | 757-345-0936
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Provider Business Mailing Address
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Address Line | 329 MCLAWS CIR
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6337
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Country | US
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Telephone | 757-220-8579
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Fax | 757-345-0936
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ELENA F FLAGG
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Credential | M.D.
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Telephone | 757-220-8579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101058959
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License Number State | VA
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