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General NPI Number Information
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NPI Number | 1154429678
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Entity Type | Organization
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Legal Business Name | CITY OF RADFORD
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 1500 WADSWORTH ST
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City | RADFORD
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State | VA
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Zip | 24141-3421
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Country | US
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Telephone | 540-731-3617
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Fax | 540-731-3698
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Provider Business Mailing Address
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Address Line | 10 ROBERTSON ST
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City | RADFORD
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State | VA
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Zip | 24141-4545
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Country | US
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Telephone | 540-731-3617
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Fax | 540-731-3689
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Authorized Official
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Title or Position | FIRE/EMS CHIEF
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Name | RODNEY HAYWOOD
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Credential |
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Telephone | 540-731-3617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1067
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License Number State | VA
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