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General NPI Number Information
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NPI Number | 1033084124
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Entity Type | Organization
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Legal Business Name | LINCOLN COUNTY PRIMARY CARE CENTER INC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 5027 HELENA AVE
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City | DELBARTON
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State | WV
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Zip | 25670-1301
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Country | US
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Telephone | 304-475-1761
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Fax | 304-475-1762
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Provider Business Mailing Address
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Address Line | 7400 LYNN AVE
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City | HAMLIN
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State | WV
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Zip | 25523-1138
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Country | US
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Telephone | 304-824-5806
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Fax | 304-824-5806
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | LETITIA ANN WEAVER-SCITES
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Credential |
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Telephone | 304-824-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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