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General NPI Number Information
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NPI Number | 1184830374
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Entity Type | Organization
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Legal Business Name | VALLEY REGIONAL ENTERPRISES INC OCCUPATIONAL HEALTH
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 607 E JUBAL EARLY DR
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City | WINCHESTER
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State | VA
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Zip | 22601-5178
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Country | US
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Telephone | 540-636-0259
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Fax |
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Provider Business Mailing Address
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Address Line | 607 E JUBAL EARLY DR
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City | WINCHESTER
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State | VA
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Zip | 22601-5178
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CORPORATE DIRECTOR
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Name | DENISE EASTHAM
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Credential |
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Telephone | 540-636-0259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State | VA
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