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General NPI Number Information
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NPI Number | 1639799166
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Entity Type | Organization
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Legal Business Name | WHITE OAK PRIMARY CARE, INC.
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 235 N MAIN ST
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City | HALIFAX
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State | VA
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Zip | 24558-2995
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Country | US
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Telephone | 434-830-2605
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Fax | 434-830-2258
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Provider Business Mailing Address
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Address Line | 235 N MAIN ST
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City | HALIFAX
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State | VA
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Zip | 24558-2995
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Country | US
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Telephone | 434-830-2605
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Fax | 434-830-2258
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Authorized Official
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Title or Position | OWNER/PRESIDENT/PROVIDER
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Name | DR. SHANNON N SCEARCE
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Credential | DNP, FNP-C
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Telephone | 434-830-2605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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