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General NPI Number Information
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NPI Number | 1891885273
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CARE ASSOCIATES
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 143 WEST MAIN STREET
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City | LEBANON
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State | VA
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Zip | 24266-4214
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Country | US
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Telephone | 276-889-2394
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Fax | 276-889-3861
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | LEBANON
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State | VA
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Zip | 24266-0369
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Country | US
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Telephone | 276-889-2394
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Fax | 276-889-3861
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DWIGHT LAWRENCE BAILEY
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Credential | MD
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Telephone | 276-889-2394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | VA
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