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General NPI Number Information
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NPI Number | 1346205069
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 103 VALLEY CENTER DR
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City | STAUNTON
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State | VA
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Zip | 24401-5080
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Country | US
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Telephone | 540-332-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2500
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City | STAUNTON
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State | VA
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Zip | 24402-2500
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Country | US
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Telephone | 540-332-8200
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Fax | 540-332-8197
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Authorized Official
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Title or Position | HOSPITAL DIRECTOR
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Name | DR. JONATHAN C ANDERSON
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Credential | M.D.
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Telephone | 540-332-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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