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Individual
CHARLES RAYMOND FENCIL
Active
Individual
CHARLES RAYMOND FENCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101273412
VA
207Q00000X
Family Medicine Physician
Primary
C1-0029863
DE
207Q00000X
Family Medicine Physician
MD496467
PA
390200000X
Student in an Organized Health Care Education/Training Program
0116033954
VA
Other
Enumeration date
06/16/2020
Last updated
09/18/2026
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