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General NPI Number Information
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NPI Number | 1902888258
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Entity Type | Individual
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Provider Name | JOHN RANDOLPH FOREHAND MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 1 CLINIC DR CLAYPOOL HILL
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City | RICHLANDS
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State | VA
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Zip | 24641-1100
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Country | US
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Telephone | 276-964-1229
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Fax | 276-964-1354
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Provider Business Mailing Address
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Address Line | PO BOX CVPI
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City | RICHLANDS
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State | VA
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Zip | 24641-1100
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Country | US
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Telephone | 276-964-1229
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Fax | 276-964-1354
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 20325
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 38298
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 38298
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 20325
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101030006
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 50578
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101030006
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 38298
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 20325
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License Number State | WV
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Taxonomy #10
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 0101030006
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License Number State | VA
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