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General NPI Number Information
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NPI Number | 1902949852
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Entity Type | Organization
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Legal Business Name | AUGUSTA HEALTH CARE INC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 70 MEDICAL CENTER CIR SUITE 112
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2273
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Country | US
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Telephone | 540-332-5946
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Fax | 540-332-5948
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Provider Business Mailing Address
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Address Line | 70 MEDICAL CENTER CIR SUITE 112
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2273
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Country | US
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Telephone | 540-332-5946
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Fax | 540-332-5948
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Authorized Official
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Title or Position | VICE PRESIDENT-PROFESSIONAL SERVICE
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Name | MR. SCOTT CRABTREE
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Credential | DPT, MHA, FACHE
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Telephone | 540-332-4800
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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 | 0201003238
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License Number State | VA
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