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General NPI Number Information
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NPI Number | 1679427140
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Entity Type | Organization
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Legal Business Name | HENRY COUNTY PUBLIC SERVICE AUTHORITY
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 3300 KINGS MOUNTAIN RD
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City | MARTINSVILLE
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State | VA
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Zip | 24112-6798
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Country | US
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Telephone | 276-634-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | COLLINSVILLE
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State | VA
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Zip | 24078-0069
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DATABASE ANALYST
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Name | STACI WILLIAMS
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Credential |
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Telephone | 276-634-4626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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