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General NPI Number Information
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NPI Number | 1881704997
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Entity Type | Organization
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Legal Business Name | ROANOKE VALLEY HEALTH SERVICES INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 2053 RIVER ROAD
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City | HENRICO
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State | NC
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Zip | 27842-0392
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Country | US
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Telephone | 252-537-9400
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Fax | 252-537-1221
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Provider Business Mailing Address
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Address Line | PO BOX 392 2053 RIVER RD
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City | HENRICO
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State | NC
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Zip | 27842-0392
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Country | US
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Telephone | 252-537-9400
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Fax | 252-537-1221
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Authorized Official
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Title or Position | CLINICS MANAGER
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Name | RUSS GARDNER
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Credential |
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Telephone | 252-535-1398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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