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General NPI Number Information
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NPI Number | 1396851382
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Entity Type | Organization
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Legal Business Name | VALLEY GERIATRICS INC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 1225 RESERVOIR ST
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City | HARRISONBURG
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State | VA
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Zip | 22801-4415
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Country | US
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Telephone | 540-433-2623
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Fax |
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Provider Business Mailing Address
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Address Line | 213 SKYLAND DR
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City | STAUNTON
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State | VA
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Zip | 24401-2358
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Country | US
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Telephone | 540-448-2190
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER BENJAMIN
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Credential | FNP
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Telephone | 540-448-2190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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