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General NPI Number Information
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NPI Number | 1629122932
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Entity Type | Organization
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Legal Business Name | ASHCAKE FAMILY PHYSICIANS INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 7493 RIGHT FLANK ROAD SUITE 400
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City | MECHANICSVILLE
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State | VA
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Zip | 23116
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Country | US
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Telephone | 804-559-2916
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Fax |
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Provider Business Mailing Address
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Address Line | 7493 RIGHT FLANK ROAD SUITE 400
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City | MECHANICSVILLE
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State | VA
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Zip | 23116
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Country | US
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Telephone | 804-559-2916
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY WRATCHFORD
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Credential | MD
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Telephone | 804-559-2916
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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 | 0101234718
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101234730
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License Number State | VA
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