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General NPI Number Information
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NPI Number | 1932466190
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Entity Type | Organization
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Legal Business Name | F.C. OF VIRGINIA, INC.
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 322 CLOVERLEAF SQUARE PROFESSIONAL COMPLEX BUILDING E , SUITE1
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City | BIG STONE GAP
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State | VA
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Zip | 24219-2752
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Country | US
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Telephone | 276-523-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 4055 VALLEY VIEW LANE
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City | DALLS
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State | TX
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Zip | 75244
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Country | US
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Telephone | 214-445-3750
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. WESLEY PERRY
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Credential |
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Telephone | 214-445-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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