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General NPI Number Information
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NPI Number | 1588647135
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH OF VA STATE BOARD OF HEALTH
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 200 H G MC GHEE DR
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City | CHATHAM
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State | VA
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Zip | 24531
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Country | US
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Telephone | 434-432-7232
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Fax | 434-432-7235
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Provider Business Mailing Address
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Address Line | PO BOX 1159
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City | CHATHAM
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State | VA
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Zip | 24531-1159
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Country | US
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Telephone | 434-432-7232
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Fax | 434-432-7235
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SCOTT J SPILLMANN
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Credential | MD, MPH
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Telephone | 434-766-9800
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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 |
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License Number State |
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