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General NPI Number Information
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NPI Number | 1649927674
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Entity Type | Organization
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Legal Business Name | REMISSION
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 1010 BORDEN RD
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City | RICHMOND
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State | VA
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Zip | 23229-6716
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Country | US
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Telephone | 804-380-6961
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 BORDEN RD
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City | RICHMOND
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State | VA
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Zip | 23229-6716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | BLAKE WEHMAN
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Credential |
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Telephone | 804-380-6961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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