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General NPI Number Information
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NPI Number | 1538082748
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Entity Type | Organization
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Legal Business Name | OMNIA MEDICAL
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 9568 KINGS CHARTER DR STE 204
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City | ASHLAND
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State | VA
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Zip | 23005-0078
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Country | US
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Telephone | 804-533-5616
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Fax | 301-560-8244
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Provider Business Mailing Address
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Address Line | 9568 KINGS CHARTER DR STE 204
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City | ASHLAND
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State | VA
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Zip | 23005-0078
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Country | US
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Telephone | 804-533-5616
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Fax | 301-560-8244
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ZOE BUTLER
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Credential |
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Telephone | 804-533-5616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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