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General NPI Number Information
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NPI Number | 1255379152
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Entity Type | Organization
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Legal Business Name | GENERATION SOLUTIONS OF THE ROANOKE VALLEY, INC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 3825 ELECTRIC RD SUITE A
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City | ROANOKE
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State | VA
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Zip | 24018-4561
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Country | US
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Telephone | 540-776-3622
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Fax | 540-776-0694
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Provider Business Mailing Address
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Address Line | 3825 ELECTRIC RD SUITE A
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City | ROANOKE
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State | VA
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Zip | 24018-4561
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Country | US
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Telephone | 540-776-3622
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Fax | 540-776-0694
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Authorized Official
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Title or Position | CEO
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Name | PAUL TULANE PATTERSON
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Credential |
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Telephone | 434-455-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 05-191
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License Number State | VA
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