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General NPI Number Information
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NPI Number | 1417041484
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Entity Type | Organization
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Legal Business Name | ALLEGHANY HIGHLANDS COMMUNITY SERVICES
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 205 E HAWTHORNE ST
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City | COVINGTON
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State | VA
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Zip | 24426-1620
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Country | US
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Telephone | 540-965-2135
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Fax | 540-965-6371
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Provider Business Mailing Address
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Address Line | 205 E HAWTHORNE ST
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City | COVINGTON
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State | VA
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Zip | 24426-1620
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Country | US
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Telephone | 540-965-2135
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Fax | 540-965-6371
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | PATTY FLANAGAN
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Credential |
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Telephone | 540-965-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 12716001
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License Number State | VA
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