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General NPI Number Information
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NPI Number | 1407116759
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Entity Type | Organization
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Legal Business Name | FAUQUIER HEALTH
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 500 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3027
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Country | US
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Telephone | 540-316-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 500 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3027
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Country | US
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Telephone | 540-316-2680
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR AND PHYSICAL THERAPIST
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Name | MS. JENNIE LOCKHART
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Credential | PT, DPT
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Telephone | 540-316-2682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2305206554
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License Number State | VA
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