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General NPI Number Information
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NPI Number | 1609169408
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Entity Type | Organization
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Legal Business Name | RICHMOND CITY HEALTH DISTRICT
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 400 EASY CARY STREET
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City | RICHMOND
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State | VA
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Zip | 23219
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Country | US
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Telephone | 804-205-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 400 EASY CARY STREET
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City | RICHMOND
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State | VA
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Zip | 23219
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Country | US
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Telephone | 804-205-5500
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Fax |
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Authorized Official
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Title or Position | LEAD PHYSICIAN
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Name | DR. SULOLA ADEKOYA
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Credential | MD
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Telephone | 804-482-5487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 0017139431
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License Number State | VA
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