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General NPI Number Information
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NPI Number | 1033820352
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Entity Type | Individual
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Provider Name | ASHLEY DAWN VANNATTER PRSS
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Gender | Female
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 802 OAK ST
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City | KENOVA
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State | WV
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Zip | 25530-1519
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Country | US
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Telephone | 304-908-1056
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Fax | 304-400-6620
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Provider Business Mailing Address
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Address Line | 3825 CRANE AVE
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City | HUNTINGTON
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State | WV
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Zip | 25705-1725
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Country | US
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Telephone | 681-294-4326
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Fax | 681-378-6108
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 000000
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License Number State | WV
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