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General NPI Number Information
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NPI Number | 1538663000
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Entity Type | Organization
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Legal Business Name | FMX OF VIRGINIA, LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 3 RIVERSIDE CIR ROOM 1287
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City | ROANOKE
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State | VA
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Zip | 24016-4955
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Country | US
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Telephone | 540-345-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 3 RIVERSIDE CIR RM 1287
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City | ROANOKE
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State | VA
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Zip | 24016-4955
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Country | US
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Telephone | 540-632-4855
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Fax | 540-632-4948
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. STEVE STONE
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Credential |
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Telephone | 540-345-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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