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General NPI Number Information
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NPI Number | 1639216021
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Entity Type | Organization
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Legal Business Name | GREENBRIER VMC LLC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 323 N JEFFERSON ST
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City | LEWISBURG
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State | WV
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Zip | 24901-1116
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Country | US
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Telephone | 304-645-3280
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Fax | 304-645-3307
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Provider Business Mailing Address
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Address Line | PO BOX 496
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City | RONCEVERTE
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State | WV
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Zip | 24970-0496
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Country | US
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Telephone | 304-645-3280
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Fax | 304-645-3307
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | REBECCA HURLEY
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Credential |
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Telephone | 214-473-3993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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