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General NPI Number Information
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NPI Number | 1598498180
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE COMMUNITY HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 59 GOLD HILL ELEMENTARY SCHOOL RD STE B
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City | NEW CANTON
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State | VA
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Zip | 23123-2162
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Country | US
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Telephone | 434-581-4904
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Fax | 434-215-3993
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Provider Business Mailing Address
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Address Line | 59 GOLD HILL ELEMENTARY SCHOOL RD STE B
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City | NEW CANTON
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State | VA
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Zip | 23123-2162
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Country | US
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Telephone | 434-847-5050
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Fax | 434-215-3993
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MARSHA BEST
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Credential |
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Telephone | 434-847-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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