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General NPI Number Information
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NPI Number | 1023396892
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Entity Type | Organization
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Legal Business Name | FREDERICKSBURG AREA REGIONAL HEALTH COUNCIL
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 1301 SAM PERRY BLVD SUITE 100
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-8420
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Country | US
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Telephone | 540-741-1055
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Fax | 540-741-3103
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Provider Business Mailing Address
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Address Line | 1301 SAM PERRY BLVD SUITE 100
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-8420
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Country | US
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Telephone | 540-741-1065
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Fax | 540-741-1096
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KAREN DULANEY
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Credential |
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Telephone | 540-741-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0201003169
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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