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General NPI Number Information
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NPI Number | 1033516646
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Entity Type | Organization
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Legal Business Name | MICHAEL L FERREBEE, M.D., PLLC
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 1325 LOCUST AVE
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City | FAIRMONT
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State | WV
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Zip | 26554-1435
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Country | US
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Telephone | 304-367-7510
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4360
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City | MORGANTOWN
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State | WV
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Zip | 26504-4360
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Country | US
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Telephone | 304-319-0841
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Fax | 304-599-2448
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. MICHAEL L FERREBEE
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Credential | M.D.
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Telephone | 304-319-0841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18262
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License Number State | WV
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