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General NPI Number Information
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NPI Number | 1821033010
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Entity Type | Organization
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Legal Business Name | MARY WASHINGTON HEALTHCARE SPECIALTY SERVICES LLC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401
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Country | US
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Telephone | 540-741-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 FALL HILL AVE STE 312
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3343
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Country | US
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Telephone | 540-741-2277
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Fax | 540-741-1029
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. CHRISTOPHER D NEWMAN
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Credential |
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Telephone | 540-741-3248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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