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General NPI Number Information
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NPI Number | 1568722072
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Entity Type | Organization
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Legal Business Name | CENTRA HEALTH, INC.
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 1331 OAK LN
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City | LYNCHBURG
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State | VA
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Zip | 24503-2501
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Country | US
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Telephone | 434-200-2422
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Fax | 434-384-3168
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Provider Business Mailing Address
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Address Line | 1331 OAK LN
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City | LYNCHBURG
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State | VA
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Zip | 24503-2501
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Country | US
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Telephone | 434-200-2422
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Fax | 434-384-3168
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Authorized Official
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Title or Position | HOSPITAL PRESIDENT
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Name | TABITHA CULBERTSON
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Credential |
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Telephone | 434-200-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 0201004455
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License Number State | VA
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