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General NPI Number Information
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NPI Number | 1609864941
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Entity Type | Organization
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Legal Business Name | SURRY REGIONAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 830 ROCKFORD ST
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City | MOUNT AIRY
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State | NC
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Zip | 27030-5322
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Country | US
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Telephone | 336-719-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1267
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City | MOUNT AIRY
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State | NC
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Zip | 27030-1267
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Country | US
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Telephone | 336-786-7669
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Fax | 336-719-2492
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. WILLIAM JAMES
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Credential |
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Telephone | 336-719-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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