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General NPI Number Information
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NPI Number | 1841203254
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Entity Type | Individual
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Provider Name | EDWARD POMICTER MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 7566 TURLEYTOWN RD
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City | SINGERS GLEN
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State | VA
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Zip | 22850-2122
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Country | US
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Telephone | 802-318-7694
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1
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City | SINGERS GLEN
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State | VA
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Zip | 22850-0001
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Country | US
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Telephone | 802-318-7694
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0420009904
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0420009904
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101257259
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101257259
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License Number State | VA
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