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General NPI Number Information
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NPI Number | 1861461881
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Entity Type | Organization
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Legal Business Name | CLIFTON FORGE HEALTH CARE LLC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 1000 FAIRVIEW AVE
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City | CLIFTON FORGE
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State | VA
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Zip | 24422-1873
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Country | US
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Telephone | 540-863-4096
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Fax | 540-862-9273
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Provider Business Mailing Address
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Address Line | 5372 FALLOWATER LN SUITE 200
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City | ROANOKE
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State | VA
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Zip | 24018-0907
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Country | US
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Telephone | 540-725-8910
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Fax | 540-725-8914
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JOSEPH ANTHONY ALESANTRINO
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Credential |
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Telephone | 540-725-8910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH2685
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License Number State | VA
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