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General NPI Number Information
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NPI Number | 1235446485
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Entity Type | Organization
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Legal Business Name | PRINCETON COMMUNITY HOSPITAL ASSN., INC
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 2111 COLLEGE AVE
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City | BLUEFIELD
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State | VA
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Zip | 24605-2002
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Country | US
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Telephone | 276-322-4661
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1369
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City | PRINCETON
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State | WV
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Zip | 24740-1369
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Country | US
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Telephone | 304-487-7451
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | DIANE LYNN SPENCER
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Credential |
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Telephone | 304-487-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | VA
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