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General NPI Number Information
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NPI Number | 1639675507
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH PHYSICIANS, PC
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 611 WATKINS CENTRE PKWY STE 350
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-4404
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Country | US
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Telephone | 804-601-4901
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Fax |
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Provider Business Mailing Address
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Address Line | 611 WATKINS CENTRE PARKWAY SUITE 350
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City | MIDLOTHIAN
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State | VA
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Zip | 23114
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Country | US
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Telephone | 804-601-4901
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAYDEN M PASCO
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Credential | MD
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Telephone | 804-601-4901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101247582
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License Number State | VA
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