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General NPI Number Information
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NPI Number | 1194696542
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Entity Type | Organization
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Legal Business Name | INDIAN HEALTH SERVICE MONACAN SERVICE UNIT MONACAN HEALTH CENTER
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 108 DIXIE AIRPORT RD
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City | MADISON HEIGHTS
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State | VA
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Zip | 24572-4500
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Country | US
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Telephone | 434-895-6672
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Fax |
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Provider Business Mailing Address
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Address Line | 108 DIXIE AIRPORT RD
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City | MADISON HEIGHTS
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State | VA
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Zip | 24572-4500
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Country | US
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Telephone | 434-895-6672
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Fax |
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Authorized Official
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Title or Position | IHS MONACAN ADMINISTRATION OFFICER
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Name | LINDSEY TAYLOR
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Credential |
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Telephone | 804-583-6856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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