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General NPI Number Information
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NPI Number | 1366308660
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Entity Type | Organization
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Legal Business Name | VIRGINIA SEDATION LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 15 GOSNELL XING
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City | STAUNTON
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State | VA
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Zip | 24401-6297
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Country | US
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Telephone | 540-213-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SPRUCE ST
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City | LEXINGTON
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State | KY
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Zip | 40507-2109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | JAMES GREG WHITE
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Credential | DDS
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Telephone | 859-300-3916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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