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General NPI Number Information
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NPI Number | 1215026307
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Entity Type | Organization
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Legal Business Name | C-HEALTH PC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 495 EAST MAIN STREET
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City | LEBANON
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State | VA
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Zip | 24266
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Country | US
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Telephone | 276-889-3700
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Fax | 276-889-5505
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Provider Business Mailing Address
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Address Line | PO BOX 2377 495 EAST MAIN STREET
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City | LEBANON
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State | VA
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Zip | 24266-2377
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Country | US
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Telephone | 276-889-3700
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Fax | 276-889-5505
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN T EASTON
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Credential | M.D.
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Telephone | 276-889-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 5419895171
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License Number State | VA
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