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General NPI Number Information
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NPI Number | 1760734503
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Entity Type | Organization
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Legal Business Name | EPIC HEALTH PARTNERS, LLC
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 155 DEER RUN RD
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City | DANVILLE
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State | VA
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Zip | 24540-2863
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Country | US
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Telephone | 434-835-4601
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Fax |
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Provider Business Mailing Address
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Address Line | 157 DEER RUN RD.
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City | DANVILLE
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State | VA
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Zip | 24540-2863
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Country | US
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Telephone | 434-835-4601
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Fax | 434-835-4673
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Authorized Official
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Title or Position | PRESIDENT
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Name | CORY DESHA WILLIAMS
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Credential |
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Telephone | 434-429-1262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | VA
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