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General NPI Number Information
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NPI Number | 1013943133
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Entity Type | Organization
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Legal Business Name | VIRGINIA MENNONITE HOME, INC.
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 1475 VIRGINIA AVE
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City | HARRISONBURG
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State | VA
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Zip | 22802-2433
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Country | US
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Telephone | 540-564-3400
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Fax | 540-564-3750
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Provider Business Mailing Address
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Address Line | 1501 VIRGINIA AVE
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City | HARRISONBURG
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State | VA
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Zip | 22802-2452
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Country | US
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Telephone | 540-564-3400
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Fax | 540-564-3700
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Authorized Official
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Title or Position | CFO
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Name | CURTIS STUTZMAN
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Credential |
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Telephone | 540-564-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH2643
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License Number State | VA
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