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General NPI Number Information
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NPI Number | 1851365225
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Entity Type | Individual
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Provider Name | MAURICE KIETH EGGLESTON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1300 HOSPITAL DR STE 200
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-8451
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Country | US
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Telephone | 540-741-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 10 TOWERING OAKS DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-8732
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Country | US
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Telephone | 540-735-4341
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 0101031234
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | Q2125
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License Number State | TX
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