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General NPI Number Information
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NPI Number | 1518005982
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Entity Type | Organization
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Legal Business Name | WILLIAMSBURG SQUARE FAMILY PRACTICE,P.C.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 9500 RICHMOND HWY
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City | LORTON
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State | VA
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Zip | 22079-2124
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Country | US
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Telephone | 703-339-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 RICHMOND HWY
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City | LORTON
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State | VA
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Zip | 22079-2124
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Country | US
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Telephone | 703-339-7788
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. FRANK PETER CIAMPI
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Credential | M.D.
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Telephone | 703-339-7788
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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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