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General NPI Number Information
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NPI Number | 1033834171
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Entity Type | Individual
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Provider Name | KERRI WARE RN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 105 COURT ST N STE 2
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City | RIPLEY
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State | WV
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Zip | 25271-1207
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Country | US
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Telephone | 304-372-5913
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Fax |
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Provider Business Mailing Address
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Address Line | 406 E 8TH ST
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City | BELLE
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State | WV
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Zip | 25015-1708
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Country | US
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Telephone | 304-206-7543
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 774453
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License Number State | WV
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