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General NPI Number Information
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NPI Number | 1992889356
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Entity Type | Organization
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Legal Business Name | ROCKBRIDGE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 204 E WASHINGTON ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2718
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Country | US
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Telephone | 540-463-5055
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Fax | 540-463-1079
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Provider Business Mailing Address
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Address Line | 204 E WASHINGTON ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2718
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Country | US
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Telephone | 540-463-5055
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Fax | 540-463-1079
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Authorized Official
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Title or Position | INSURANCE
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Name | ASHLEY BURNETT-DAVIS
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Credential |
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Telephone | 540-463-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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