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General NPI Number Information
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NPI Number | 1811908437
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Entity Type | Organization
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Legal Business Name | DUBLIN FAMILY PRACTICE PC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 4676 LEE HWY
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City | DUBLIN
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State | VA
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Zip | 24084-3871
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Country | US
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Telephone | 540-674-8805
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Fax | 540-674-8670
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Provider Business Mailing Address
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Address Line | 4676 LEE HWY
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City | DUBLIN
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State | VA
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Zip | 24084-3871
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Country | US
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Telephone | 540-674-8805
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Fax | 540-674-8670
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM F. MAYO
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Credential | MD
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Telephone | 540-674-8805
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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 |
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License Number State |
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