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General NPI Number Information
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NPI Number | 1710494331
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Entity Type | Organization
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Legal Business Name | SHENANDOAH MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 33699 OLD VALLEY PIKE STE D
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City | STRASBURG
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State | VA
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Zip | 22657-3893
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Country | US
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Telephone | 540-459-1410
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Fax | 540-459-1406
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD STE 320
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City | WINCHESTER
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State | VA
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Zip | 22601-2889
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Country | US
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Telephone | 540-536-0231
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Fax | 540-536-0235
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | RENEE NEVADA JOHNSON
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Credential |
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Telephone | 540-536-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | VA
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