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General NPI Number Information
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NPI Number | 1962469304
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Entity Type | Organization
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Legal Business Name | CHILDRENS ORTHOPEDIC CENTER
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 1011 HIOAKS RD STE D
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City | RICHMOND
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State | VA
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Zip | 23225
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Country | US
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Telephone | 804-272-0726
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 HIOAKS RD STE D
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City | RICHMOND
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State | VA
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Zip | 23225
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Country | US
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Telephone | 804-272-0726
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Fax |
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Authorized Official
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Title or Position | MD OWNER
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Name | DR. SUSAN E ATKINS
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Credential | MD
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Telephone | 804-272-0726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101047136
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License Number State | VA
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