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General NPI Number Information
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NPI Number | 1619845468
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Entity Type | Organization
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Legal Business Name | APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 180 BRISTOL EAST RD
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City | BRISTOL
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State | VA
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Zip | 24202-5500
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Country | US
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Telephone | 276-964-4915
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Fax | 276-963-0130
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Provider Business Mailing Address
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Address Line | PO BOX 765
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City | CEDAR BLUFF
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State | VA
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Zip | 24609-0765
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Country | US
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Telephone | 276-964-4915
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Fax | 276-963-0130
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Authorized Official
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Title or Position | PROGRAM ASSISTANT
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Name | PATRICIA CAROL BARBOUR
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Credential |
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Telephone | 276-964-4915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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