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General NPI Number Information
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NPI Number | 1518083476
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Entity Type | Organization
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Legal Business Name | RICHLANDS OB GYN ASSOCIATES PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 1100 CEDAR VALLEY DR
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City | CEDAR BLUFF
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State | VA
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Zip | 24609-0787
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Country | US
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Telephone | 276-964-6764
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Fax | 276-964-6765
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Provider Business Mailing Address
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Address Line | PO BOX 787 1100 CEDAR VALLEY DRIVE
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City | CEDAR BLUFF
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State | VA
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Zip | 24609-0787
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Country | US
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Telephone | 276-964-6764
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Fax | 276-964-6765
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Authorized Official
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Title or Position | OWNER
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Name | DR. YELAMELI S MURTHY
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Credential | MD
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Telephone | 276-964-6764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 0101023129
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License Number State | VA
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