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General NPI Number Information
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NPI Number | 1952547473
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Entity Type | Organization
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Legal Business Name | AIR PARK MEDICAL & OCCUPATIONAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 11015 LEADBETTER RD
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City | ASHLAND
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State | VA
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Zip | 23005-3408
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Country | US
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Telephone | 804-928-8989
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Fax | 804-798-3578
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Provider Business Mailing Address
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Address Line | 11015 LEADBETTER RD
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City | ASHLAND
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State | VA
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Zip | 23005-3408
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Country | US
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Telephone | 804-928-8989
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Fax | 804-798-3578
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | CHRISTINE T. BRUBAKER
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Credential | N.P.
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Telephone | 804-928-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 0024100252
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License Number State | VA
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