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General NPI Number Information
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NPI Number | 1194511568
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Entity Type | Organization
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Legal Business Name | STUART COMMUNITY HOSPITAL INC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 18688 JEB STUART HWY
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City | STUART
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State | VA
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Zip | 24171-1559
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Country | US
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Telephone | 336-944-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 18688 JEB STUART HWY
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City | STUART
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State | VA
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Zip | 24171-1559
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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 | RCD, AUTHORIZED OFFICIAL
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Name | LARRY HENSON
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Credential |
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Telephone | 336-944-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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