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General NPI Number Information
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NPI Number | 1811009848
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Entity Type | Organization
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Legal Business Name | HENRICO DOCTORS FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/05/2008
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Provider Practice Location Address
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Address Line | 7702 E PARHAM RD SUITE 301
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City | RICHMOND
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State | VA
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Zip | 23294-4371
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Country | US
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Telephone | 804-747-5696
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Fax | 804-747-5697
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Provider Business Mailing Address
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Address Line | 7702 E PARHAM RD SUITE 301
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City | RICHMOND
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State | VA
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Zip | 23294-4371
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Country | US
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Telephone | 804-747-5696
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Fax | 804-747-5697
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Authorized Official
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Title or Position | VP
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Name | CAROL A SMITH
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Credential |
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Telephone | 804-237-7760
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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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