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General NPI Number Information
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NPI Number | 1144339144
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 301 HALIFAX ST
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City | PETERSBURG
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State | VA
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Zip | 23803-6335
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Country | US
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Telephone | 804-863-1652
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Fax | 804-862-6126
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Provider Business Mailing Address
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Address Line | 301 HALIFAX ST
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City | PETERSBURG
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State | VA
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Zip | 23803-6335
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Country | US
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Telephone | 804-863-1652
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Fax | 804-862-6126
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Authorized Official
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Title or Position | DISTRICT HEALTH DIRECTOR
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Name | DR. KATHRYN A RANKIN
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Credential | MD
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Telephone | 804-863-1652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | VA
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