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General NPI Number Information
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NPI Number | 1669794921
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Entity Type | Organization
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Legal Business Name | CENTRAL VIRGINIA FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 211 PARK HILL DR STE B
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3361
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Country | US
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Telephone | 540-370-4370
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Fax | 540-370-4331
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Provider Business Mailing Address
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Address Line | 211 PARK HILL DR STE B
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3361
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Country | US
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Telephone | 540-370-4370
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Fax | 540-370-4331
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. MITZI J. SAMPSON
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Credential | M.D.
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Telephone | 540-370-4370
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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 | 0101047353
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License Number State | VA
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