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General NPI Number Information
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NPI Number | 1962654244
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Entity Type | Organization
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Legal Business Name | ROANOKE VALLEY HEALTH SERVICES INC
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 250 SMITH CHURCH RD
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-4914
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Country | US
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Telephone | 252-535-8011
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Fax | 252-535-8868
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Provider Business Mailing Address
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Address Line | 210 B SMITH CHURCH ROAD
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-4942
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Country | US
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Telephone | 252-535-8861
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Fax | 252-535-8868
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Authorized Official
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Title or Position | VP FINANCE
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Name | MRS. SHERRY E JENSEN
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Credential |
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Telephone | 252-535-8005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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