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General NPI Number Information
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NPI Number | 1457332942
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Entity Type | Organization
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Legal Business Name | ROANOKE CITY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 515 8TH ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-3529
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Country | US
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Telephone | 540-857-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 515 8TH ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-3529
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Country | US
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Telephone | 540-857-7600
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Fax |
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | DR. MOLLY ODELL
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Credential | M.D.
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Telephone | 540-857-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 0101033209
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License Number State | VA
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