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General NPI Number Information
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NPI Number | 1336340447
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Entity Type | Organization
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Legal Business Name | COMMUNITY PHYSICIANS SERVICES CORPORATION
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 15TH ST NW
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City | NORTON
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State | VA
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Zip | 24273-1616
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Country | US
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Telephone | 276-679-9645
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Fax | 276-679-9762
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Provider Business Mailing Address
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Address Line | 96 15TH ST NW SUITE 104
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City | NORTON
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State | VA
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Zip | 24273-1620
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Country | US
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Telephone | 276-679-8890
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Fax | 276-679-9740
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | EMILY JANE STURGILL
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Credential |
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Telephone | 276-679-8890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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