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General NPI Number Information
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NPI Number | 1003859620
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Entity Type | Organization
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Legal Business Name | VIRGINIA GAY HOSPITAL, INC
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 1002 W MAIN ST
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City | URBANA
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State | IA
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Zip | 52345-9099
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Country | US
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Telephone | 319-443-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 W MAIN ST
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City | URBANA
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State | IA
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Zip | 52345-9099
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Country | US
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Telephone | 319-443-5000
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHAEL J RIEGE
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Credential |
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Telephone | 319-443-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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