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General NPI Number Information
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NPI Number | 1730449497
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Entity Type | Individual
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Provider Name | RICHARD CONLEY
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Gender | Male
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 3708 S MAIN ST
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City | BLACKSBURG
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State | VA
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Zip | 24060-7007
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Country | US
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Telephone | 540-552-3668
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Fax | 304-553-7327
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Provider Business Mailing Address
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Address Line | 3708 S MAIN ST
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City | BLACKSBURG
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State | VA
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Zip | 24060-7007
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Country | US
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Telephone | 540-552-3668
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Fax | 304-553-7327
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 10507
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103301385
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License Number State | VA
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