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General NPI Number Information
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NPI Number | 1578438107
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Entity Type | Organization
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Legal Business Name | IR VA MSO LLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 173 WADSWORTH DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-4500
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Country | US
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Telephone | 770-953-2600
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Fax | 770-953-2602
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Provider Business Mailing Address
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Address Line | 173 WADSWORTH DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-4500
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Country | US
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Telephone | 770-953-2600
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Fax | 770-953-2602
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Authorized Official
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Title or Position | CEO
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Name | MR. KYLE FRANCIS
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Credential |
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Telephone | 917-676-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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