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General NPI Number Information
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NPI Number | 1801099197
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Entity Type | Organization
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Legal Business Name | RUSSELL COUNTY MEDICAL CENTER INC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 58 CARROLL STREET
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City | LEBANON
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State | VA
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Zip | 24266
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Country | US
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Telephone | 276-883-8241
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Fax | 276-883-8250
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Provider Business Mailing Address
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Address Line | 58 CARROLL STREET
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City | LEBANON
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State | VA
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Zip | 24266
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Country | US
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Telephone | 276-883-8241
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Fax | 276-883-8250
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID MILLER
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Credential |
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Telephone | 615-465-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | VA
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