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General NPI Number Information
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NPI Number | 1194738518
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Entity Type | Organization
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Legal Business Name | SMYTH COUNTY COMMUNTIY HOSPITAL
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 565 RADIO HILL RD
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City | MARION
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State | VA
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Zip | 24354-6587
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Country | US
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Telephone | 276-782-1245
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Fax | 276-782-1438
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Provider Business Mailing Address
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Address Line | 565 RADIO HILL RD
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City | MARION
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State | VA
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Zip | 24354-6587
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Country | US
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Telephone | 276-782-1245
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Fax | 276-782-1438
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Authorized Official
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Title or Position | CEO
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Name | LINDY P WHITE
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Credential |
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Telephone | 276-782-1245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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