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General NPI Number Information
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NPI Number | 1255319661
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Entity Type | Organization
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Legal Business Name | BOYDTON COMMUNITY HEALTH FACILITY, INC.
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 380 WASHINGTON STREET
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City | BOYDTON
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State | VA
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Zip | 23917-0540
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Country | US
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Telephone | 434-738-6102
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Fax | 434-738-6982
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Provider Business Mailing Address
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Address Line | P.O. BOX 540
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City | BOYDTON
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State | VA
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Zip | 23917-0540
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Country | US
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Telephone | 434-738-6102
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Fax | 434-738-6982
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. ANGELA N MILLER
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Credential |
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Telephone | 434-738-6102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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