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General NPI Number Information
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NPI Number | 1871654871
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE SPECIALISTS OF EMPORIA, P.C.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 WEAVER AVE
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City | EMPORIA
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State | VA
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Zip | 23847-1248
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Country | US
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Telephone | 434-634-9488
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Fax | 434-348-1094
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Provider Business Mailing Address
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Address Line | 201 WEAVER AVE
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City | EMPORIA
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State | VA
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Zip | 23847-1248
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Country | US
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Telephone | 434-634-9488
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Fax | 434-348-1094
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LELIA B. SLAGLE
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Credential |
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Telephone | 434-634-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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