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General NPI Number Information
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NPI Number | 1972284941
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Entity Type | Organization
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Legal Business Name | WEST CREEK ENDOSCOPY LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1600 WILKES RIDGE DR STE 100
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City | HENRICO
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State | VA
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Zip | 23233
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Country | US
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Telephone | 703-563-0042
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 WILKES RIDGE DR SUITE 100
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City | HENRICO
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State | VA
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Zip | 23233-7964
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Country | US
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Telephone | 703-563-0042
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHERYL MILLER
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Credential |
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Telephone | 804-354-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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