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General NPI Number Information
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NPI Number | 1629269139
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Entity Type | Organization
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Legal Business Name | L. GLENN CHRISTIE MD LTD
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 7605 FOREST AVE STE 402
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City | RICHMOND
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State | VA
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Zip | 23229-4939
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Country | US
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Telephone | 804-282-7872
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Fax | 804-288-4318
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Provider Business Mailing Address
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Address Line | 7605 FOREST AVE STE 402
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City | RICHMOND
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State | VA
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Zip | 23229-4939
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Country | US
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Telephone | 804-282-7872
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Fax | 804-288-4318
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LAURENCE GLENN CHRISTIE
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Credential | M.D.
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Telephone | 804-282-7872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 0101013228
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License Number State | VA
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