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General NPI Number Information
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NPI Number | 1720243280
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Entity Type | Organization
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Legal Business Name | ROANOKE VALLEY ADULT DAY CENTER
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 108 E 1ST ST
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City | WELDON
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State | NC
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Zip | 27890-1502
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Country | US
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Telephone | 252-536-2070
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Fax | 252-536-5119
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Provider Business Mailing Address
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Address Line | 108 E 1ST ST
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City | WELDON
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State | NC
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Zip | 27890-1502
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Country | US
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Telephone | 252-536-2070
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Fax | 252-536-5119
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROGER EDWARDS
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Credential |
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Telephone | 252-578-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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