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General NPI Number Information
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NPI Number | 1851427215
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Entity Type | Organization
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Legal Business Name | C-MED COMPANY
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 144 FELLOWSHIP CT
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-5049
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Country | US
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Telephone | 804-529-9919
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Fax | 804-529-9920
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Provider Business Mailing Address
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Address Line | PO BOX 538
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City | WARSAW
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State | VA
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Zip | 22572-0538
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Country | US
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Telephone | 804-529-9919
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Fax | 804-529-9920
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Authorized Official
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Title or Position | OWNER
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Name | GEOFFREY COLEMAN
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Credential | M.D.
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Telephone | 804-529-9919
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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 | 0101055024
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License Number State | VA
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