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General NPI Number Information
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NPI Number | 1649026485
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Entity Type | Organization
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Legal Business Name | NRV INTERNAL MEDICINE LLC
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 721 WEST MAIN STREET
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City | RADFORD
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State | VA
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Zip | 24141
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Country | US
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Telephone | 540-838-8300
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Fax | 540-838-8030
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Provider Business Mailing Address
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Address Line | PO BOX 8310
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City | ROANOKE
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State | VA
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Zip | 24014-0310
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Country | US
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Telephone | 540-345-3556
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Fax | 540-566-3889
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANIA ROSBOROUGH
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Credential | MD
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Telephone | 540-838-8300
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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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