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General NPI Number Information
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NPI Number | 1295728491
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Entity Type | Organization
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Legal Business Name | BEDFORD MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 06/24/2011
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Provider Practice Location Address
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Address Line | 1613 OAKWOOD ST
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City | BEDFORD
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State | VA
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Zip | 24523-1213
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Country | US
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Telephone | 540-586-2441
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Fax | 540-224-5507
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Provider Business Mailing Address
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Address Line | PO BOX 13966
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City | ROANOKE
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State | VA
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Zip | 24038-3966
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Country | US
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Telephone | 540-586-2441
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PROFESSIONAL BILLING
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Name | MRS. REBECCA H JOHNSON
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Credential |
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Telephone | 540-224-5715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H 1828
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License Number State | VA
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