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General NPI Number Information
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NPI Number | 1356844575
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL FACILITIES, INC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 1000 DUTCH RIDGE RD
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City | BEAVER
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State | PA
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Zip | 15009-9727
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Country | US
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Telephone | 724-773-1941
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Fax | 724-773-8370
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Provider Business Mailing Address
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Address Line | 1000 DUTCH RIDGE RD MEDICAL STAFF OFFICE
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City | BEAVER
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State | PA
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Zip | 15009-9727
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Country | US
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Telephone | 724-773-4776
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Fax | 724-773-4726
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Authorized Official
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Title or Position | VICE PRESIDENT & CFO
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Name | MR. BRYAN RANDALL SR.
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Credential |
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Telephone | 724-773-4776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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