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General NPI Number Information
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NPI Number | 1467647180
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Entity Type | Organization
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Legal Business Name | SMYTH COUNTY COMMUNITY HOSPITAL/ EMERGENCY DEPARTMENT PHYSICIANS
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 565 RADIO HILL RD EMERGENCY DEPARTMENT
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City | MARION
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State | VA
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Zip | 24354-6587
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Country | US
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Telephone | 276-783-2511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3798
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City | JOHNSON CITY
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State | TN
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Zip | 37602-3798
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ALLEN HARRIS
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Credential |
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Telephone | 276-782-1194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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