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General NPI Number Information
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NPI Number | 1932205689
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Entity Type | Organization
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Legal Business Name | WILLIAM R ANDERSON JR MD PC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 4101 NINE MILE ROAD MASONIC HOME OF VIRGINA
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City | RICHMOND
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State | VA
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Zip | 23223
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Country | US
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Telephone | 804-222-1694
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Fax | 804-222-9012
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | MIDLOTHIAN
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State | VA
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Zip | 23113
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Country | US
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Telephone | 800-437-8501
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Fax | 804-378-3264
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. WILLIAM R ANDERSON JR.
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Credential | MD
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Telephone | 804-222-1694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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