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General NPI Number Information
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NPI Number | 1427329804
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Entity Type | Organization
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Legal Business Name | HIGHPOWER, PC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 06/24/2012
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Provider Practice Location Address
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Address Line | 122 PRICE ST
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City | LEBANON
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State | VA
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Zip | 24266-7122
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Country | US
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Telephone | 276-395-3938
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2964
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City | LEBANON
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State | VA
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Zip | 24266-2964
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Country | US
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Telephone | 276-395-3938
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SAMUEL HUGHES MELTON
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Credential | M.D.
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Telephone | 276-395-3938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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