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General NPI Number Information
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NPI Number | 1275020521
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Entity Type | Organization
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Legal Business Name | CHS, INC
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Dates
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Enumeration Date | 04/21/2018
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 3737 W MAIN ST STE 106
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City | SALEM
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State | VA
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Zip | 24153-2073
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Country | US
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Telephone | 540-380-2940
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Fax | 540-444-7321
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Provider Business Mailing Address
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Address Line | 3737 W MAIN ST STE 106
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City | SALEM
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State | VA
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Zip | 24153-2072
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Country | US
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Telephone | 540-380-2940
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Fax | 540-444-7321
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Authorized Official
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Title or Position | DIRECTOR
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Name | ADRIAN WILSON
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Credential |
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Telephone | 540-526-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 0201004304
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License Number State | VA
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