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General NPI Number Information
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NPI Number | 1245056712
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Entity Type | Organization
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Legal Business Name | SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INCORPORATED
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 386 BEN BOLT AVE
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City | TAZEWELL
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State | VA
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Zip | 24651-5386
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Country | US
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Telephone | 276-979-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 13191 GLENBROOK AVENUE
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City | MEADOWVIEW
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State | VA
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Zip | 24361
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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 | CEO
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Name | JOSEPH BRYAN HAYNES
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Credential |
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Telephone | 276-496-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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