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NPI 1720939895

NPI 1720939895 : DRS GREEN & HENDERSON INC : VINTON, VA

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General NPI Number Information
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    NPI Number           |    1720939895
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRS GREEN & HENDERSON INC 
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Dates
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    Enumeration Date     |    02/05/2026
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    Last Update Date     |    02/05/2026
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Provider Practice Location Address
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    Address Line         |    895 E WASHINGTON AVE 
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    City                 |    VINTON
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    State                |    VA
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    Zip                  |    24179-2105
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    Country              |    US
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    Telephone            |    540-790-6050
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    103 STATION PLACE WAY 
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    City                 |    HURRICANE
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    State                |    WV
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    Zip                  |    25526-8747
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    Country              |    US
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    Telephone            |    304-720-7819
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    Fax                  |    
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Authorized Official
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    Title or Position    |    RCM DIRECTOR
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    Name                 |     LESLEY  COYNER 
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    Credential           |    
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    Telephone            |    304-552-7688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    
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    License Number State |    
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