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General NPI Number Information
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NPI Number | 1518150739
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Entity Type | Organization
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Legal Business Name | OB HOSPITALIST INC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 1603 SKIPWITH RD
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City | HENRICO
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State | VA
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Zip | 23229-5253
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Country | US
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Telephone | 804-507-1644
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Fax | 804-507-0116
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Provider Business Mailing Address
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Address Line | PO BOX 7650
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City | HENRICO
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State | VA
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Zip | 23231-0150
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Country | US
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Telephone | 804-507-1644
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Fax | 804-507-0116
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LLOYD DUNNAVANT
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Credential |
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Telephone | 804-741-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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