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General NPI Number Information
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NPI Number | 1023335213
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Entity Type | Organization
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Legal Business Name | WEST VIRGINIA GASTROENTEROLOGY & ENDOSCOPY
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 213 MAIN ST
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City | ELKINS
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State | WV
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Zip | 26241-3127
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Country | US
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Telephone | 304-637-2360
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Fax | 304-637-2362
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Provider Business Mailing Address
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Address Line | PO BOX 6230
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City | WHEELING
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State | WV
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Zip | 26003-0722
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Country | US
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Telephone | 304-637-2360
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Fax | 304-637-2362
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. NITESH RATNAKAR
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Credential | MD
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Telephone | 304-637-2360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 22218
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License Number State | WV
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