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General NPI Number Information
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NPI Number | 1922135193
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Entity Type | Organization
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Legal Business Name | EMERGICARE OF HARRISONBURG, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 755A CANTRELL AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-4366
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Country | US
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Telephone | 540-432-9996
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Fax | 540-432-9997
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Provider Business Mailing Address
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Address Line | 755A CANTRELL AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-4366
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Country | US
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Telephone | 540-432-9996
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Fax | 540-432-9997
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICK A STOUGH
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Credential | M.D.
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Telephone | 540-432-9996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 0101052985
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License Number State | VA
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