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General NPI Number Information
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NPI Number | 1013113083
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Entity Type | Organization
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Legal Business Name | ROBERT C. PENNINGTON, MD, PC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 311 COURTHOUSE ROAD
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City | PRINCETON
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State | WV
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Zip | 24740-2421
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Country | US
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Telephone | 304-487-2297
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Fax | 304-487-4802
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Provider Business Mailing Address
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Address Line | 311 COURTHOUSE ROAD
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City | PRINCETON
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State | WV
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Zip | 24740-2421
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Country | US
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Telephone | 304-487-2297
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Fax | 304-487-4802
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CARL PENNINGTON
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Credential | M.D.
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Telephone | 304-425-2297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25068
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License Number State | WV
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