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General NPI Number Information
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NPI Number | 1619274446
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Entity Type | Organization
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Legal Business Name | ROANOKE VALLEY HEALTHCARE PARTNERS, LLC
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 602 BRANDON AVE SW SUITE 222
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City | ROANOKE
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State | VA
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Zip | 24015-3212
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Country | US
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Telephone | 540-774-0000
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Fax | 540-774-0085
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Provider Business Mailing Address
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Address Line | PO BOX 2022
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City | BURLINGTON
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State | NC
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Zip | 27216-2022
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Country | US
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Telephone | 336-222-9299
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Fax | 336-222-9168
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Authorized Official
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Title or Position | MANAGER
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Name | CINDY G GILLIAM
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Credential |
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Telephone | 336-222-9299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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