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General NPI Number Information
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NPI Number | 1992761423
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD MEDICAL CENTER, P.C.
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3970 SPRINGFIELD RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4119
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Country | US
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Telephone | 804-747-8400
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Fax | 804-747-8170
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Provider Business Mailing Address
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Address Line | 3970 SPRINGFIELD RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4119
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Country | US
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Telephone | 804-747-8400
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Fax | 804-747-8170
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT L VALENTE
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Credential | D.O.
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Telephone | 804-747-8044
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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 | 0102049852
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License Number State | VA
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