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General NPI Number Information
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NPI Number | 1922255637
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Entity Type | Organization
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Legal Business Name | ROCKBRIDGE TRADITIONAL MEDICINE
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 104 S JEFFERSON ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2027
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Country | US
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Telephone | 540-463-2882
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Fax | 540-463-2829
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Provider Business Mailing Address
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Address Line | 104 S JEFFERSON ST PO BOX 1506
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City | LEXINGTON
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State | VA
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Zip | 24450
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Country | US
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Telephone | 540-463-2882
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Fax | 540-463-2829
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Authorized Official
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Title or Position | OWNER
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Name | DR. CATHRYN K HARBOR
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Credential | MD
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Telephone | 540-463-2882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number | 0101050011
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License Number State | VA
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