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General NPI Number Information
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NPI Number | 1912909284
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Entity Type | Organization
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Legal Business Name | WILLIAMSBURG ANESTHESIA ASSOCIATES, PC
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 301 MONTICELLO AVE
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-2833
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Country | US
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Telephone | 757-345-4135
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3543
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City | WILLIAMSBURG
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State | VA
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Zip | 23187-3543
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Country | US
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Telephone | 757-259-6622
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Fax | 757-259-6597
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | DR. ELIZABETH FOXX
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Credential | M.D.
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Telephone | 757-259-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | VA
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