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General NPI Number Information
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NPI Number | 1053854141
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Entity Type | Organization
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Legal Business Name | ACCESS FAMILY CARE OF SOUTHWEST VIRGINIA
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 709 KENYON RD
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City | VINTON
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State | VA
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Zip | 24179
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Country | US
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Telephone | 540-915-4835
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Fax | 757-216-0131
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Provider Business Mailing Address
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Address Line | 709 KENYON RD
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City | VINTON
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State | VA
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Zip | 24179-1203
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Country | US
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Telephone | 540-915-4835
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Fax | 757-216-0131
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | JESSICA HAYES
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Credential |
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Telephone | 540-915-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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