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General NPI Number Information
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NPI Number | 1780880971
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Entity Type | Organization
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Legal Business Name | PAGE MEMORIAL HOSPITAL INC.
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 200 MEMORIAL DR
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City | LURAY
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State | VA
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Zip | 22835-1000
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Country | US
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Telephone | 540-743-4561
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Fax | 540-743-9560
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD STE 100
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City | WINCHESTER
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State | VA
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Zip | 22601-2896
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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 | 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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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