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General NPI Number Information
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NPI Number | 1023808607
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Entity Type | Organization
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Legal Business Name | AVAIL HEALTH MEDICAL GROUP OF WEST VIRGINIA PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 300 CAPITOL ST STE 521
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City | CHARLESTON
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State | WV
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Zip | 25301-1748
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Country | US
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Telephone | 408-300-9787
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CAPITOL ST STE 521
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City | CHARLESTON
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State | WV
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Zip | 25301-1748
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Country | US
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Telephone | 408-300-9787
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH HARRISON
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Credential |
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Telephone | 925-212-5976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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