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General NPI Number Information
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NPI Number | 1598950644
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Entity Type | Individual
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Provider Name | AMIT SURENDRA VASHIST MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 16000 JOHNSTON MEMORIAL DR FOURTH FLOOR
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City | ABINGDON
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State | VA
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Zip | 24211-7659
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Country | US
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Telephone | 276-258-4050
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Fax | 276-258-4056
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Provider Business Mailing Address
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Address Line | 16000 JOHNSTON MEMORIAL DR FL 4
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City | ABINGDON
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State | VA
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Zip | 24211-7664
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Country | US
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Telephone | 276-258-4050
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Fax | 276-258-4056
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 47570
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 47570
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 47570
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101251218
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101251218
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101251218
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License Number State | VA
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