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General NPI Number Information
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NPI Number | 1134053952
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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 | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 215 COUGAR LN
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City | STUART
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State | VA
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Zip | 24171-4519
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Country | US
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Telephone | 888-477-5582
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Fax | 276-398-3331
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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 | 276-398-3331
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Authorized Official
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Title or Position | CREDENTIALING
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Name | CAROL HASH
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Credential |
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Telephone | 276-398-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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