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General NPI Number Information
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NPI Number | 1396732004
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Entity Type | Organization
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Legal Business Name | WARREN MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 1000 N SHENANDOAH AVE ANESTHESIA DEPARTMENT
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City | FRONT ROYAL
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State | VA
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Zip | 22630-3547
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Country | US
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Telephone | 540-636-0296
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Fax | 540-696-0259
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Provider Business Mailing Address
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Address Line | 759 S MAIN ST
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City | WOODSTOCK
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State | VA
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Zip | 22664-1127
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Country | US
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Telephone | 540-459-1287
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Fax | 540-459-1293
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Authorized Official
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Title or Position | DIRECTOR
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Name | TERESA ANN TAYLOR
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Credential |
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Telephone | 540-459-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | VA
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Taxonomy #3
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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 | VA
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