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NPI 1861674160

NPI 1861674160 : NORTON COMMUNITY PHYSICIAN SERVICES LLC : NORTON, VA

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General NPI Number Information
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    NPI Number           |    1861674160
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTON COMMUNITY PHYSICIAN SERVICES LLC 
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Dates
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    Enumeration Date     |    11/29/2007
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    Last Update Date     |    05/02/2025
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Provider Practice Location Address
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    Address Line         |    96 15TH ST NW SUITE 104
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    City                 |    NORTON
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    State                |    VA
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    Zip                  |    24273
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    Country              |    US
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    Telephone            |    276-679-8890
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    Fax                  |    276-679-9740
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Provider Business Mailing Address
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    Address Line         |    96 15TH ST NW SUITE 104
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    City                 |    NORTON
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    State                |    VA
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    Zip                  |    24273-1625
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    Country              |    US
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    Telephone            |    276-679-8890
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    Fax                  |    276-679-9740
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     JUANITA L HARWOOD 
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    Credential           |    
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    Telephone            |    423-302-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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