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General NPI Number Information
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NPI Number | 1831644897
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Entity Type | Organization
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Legal Business Name | BEDFORD MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 1617 OAKWOOD ST
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City | BEDFORD
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State | VA
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Zip | 24523-1213
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Country | US
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Telephone | 540-586-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 OAKWOOD ST
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City | BEDFORD
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State | VA
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Zip | 24523-1213
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Country | US
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Telephone | 540-586-8424
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Fax |
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Authorized Official
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Title or Position | VP & CEO
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Name | PATTI JURKUS
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Credential |
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Telephone | 540-425-7601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | ADC994441
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | ADC994441
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License Number State | VA
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