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General NPI Number Information
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NPI Number | 1619906286
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Entity Type | Organization
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Legal Business Name | FALL HILL PEDIATRICS
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 FALL HILL AVE SUITE 290
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3342
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Country | US
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Telephone | 540-899-2555
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Fax | 540-899-3554
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Provider Business Mailing Address
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Address Line | 2300 FALL HILL AVE SUITE 290
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3342
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Country | US
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Telephone | 540-899-2555
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Fax | 540-899-3554
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CLAUDIA SUSSDORF
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Credential | M.D.
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Telephone | 540-899-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101237777
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101049316
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101230344
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101235168
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License Number State | VA
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