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General NPI Number Information
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NPI Number | 1043658537
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Entity Type | Organization
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Legal Business Name | TRI AREA COMMUNITY HEALTH
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 180 FERRUM MOUNTAIN RD
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City | FERRUM
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State | VA
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Zip | 24088-2939
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Country | US
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Telephone | 540-365-9992
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Fax | 540-365-2718
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | LAUREL FORK
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State | VA
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Zip | 24352-0009
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Country | US
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Telephone | 276-398-1200
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Fax | 540-365-2718
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JAMES L WERTH JR.
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Credential |
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Telephone | 276-398-2292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201004119
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0201004119
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License Number State | VA
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