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General NPI Number Information
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NPI Number | 1902949738
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Entity Type | Organization
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Legal Business Name | SUNNYSIDE PRESBYTERIAN HOME
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 05/26/2020
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Provider Practice Location Address
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Address Line | 3935 SUNNYSIDE DR SUITE A
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City | HARRISONBURG
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State | VA
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Zip | 22801-2328
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Country | US
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Telephone | 540-568-8249
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Fax | 540-568-8645
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Provider Business Mailing Address
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Address Line | 600 UNIVERSITY BLVD SUITE L
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City | HARRISONBURG
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State | VA
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Zip | 22801-3763
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Country | US
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Telephone | 540-568-8600
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Fax | 540-568-8248
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | LINDA HARMON
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Credential | PHARMACIST
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Telephone | 540-568-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201002753
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License Number State | VA
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