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General NPI Number Information
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NPI Number | 1548732936
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Entity Type | Organization
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Legal Business Name | GARDEN OF EDEN HEALTH CENTER PC
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Dates
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Enumeration Date | 12/22/2018
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 9460 AMBERDALE DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1259
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Country | US
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Telephone | 804-362-7372
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Fax | 866-834-5648
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Provider Business Mailing Address
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Address Line | 9460 AMBERDALE DR STE A
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1259
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Country | US
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Telephone | 804-362-7372
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Fax | 866-834-5648
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Authorized Official
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Title or Position | MD
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Name | DR. ASENA L MADISON
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Credential | MD
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Telephone | 804-381-8769
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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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