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General NPI Number Information
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NPI Number | 1881912624
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Entity Type | Organization
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Legal Business Name | HEALTHY FUTURE INC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 800 COURT ST SUITE 6
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City | LYNCHBURG
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State | VA
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Zip | 24504-1504
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Country | US
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Telephone | 434-515-3940
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Fax | 866-433-4415
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Provider Business Mailing Address
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Address Line | 800 COURT ST SUITE 6
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City | LYNCHBURG
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State | VA
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Zip | 24504-1504
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Country | US
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Telephone | 434-515-3940
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Fax | 866-433-4415
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBORAH T MOWERY
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Credential | M.D.
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Telephone | 434-515-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101045890
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License Number State | VA
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