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General NPI Number Information
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NPI Number | 1609805480
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Entity Type | Organization
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Legal Business Name | STONY HILL INTERNAL MEDICINE INC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 11 SMOKEHOUSE DRIVE SUITE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22406
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Country | US
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Telephone | 540-370-0295
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Fax | 540-370-0619
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Provider Business Mailing Address
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Address Line | 11 SMOKEHOUSE DRIVE SUITE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22406
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Country | US
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Telephone | 540-370-0295
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Fax | 540-370-0619
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | SUSAN HOLLAND
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Credential | MD
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Telephone | 540-370-0295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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