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General NPI Number Information
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NPI Number | 1033608898
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Entity Type | Individual
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Provider Name | DR. PATRICK E MCMUNN
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Gender | Male
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 217 N COURT ST
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City | GLENVILLE
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State | WV
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Zip | 26351-1252
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Country | US
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Telephone | 304-517-6048
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | LOST CREEK
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State | WV
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Zip | 26385-0490
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Country | US
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Telephone | 304-517-6048
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | TPPY2991
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5871688
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1374
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS020659
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 979
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License Number State | WV
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