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General NPI Number Information
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NPI Number | 1043209687
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Entity Type | Individual
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Provider Name | JAMES L FERNAU MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 3246 US ROUTE 60 SUITE 26
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City | HUNTINGTON
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State | WV
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Zip | 25705-2076
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Country | US
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Telephone | 304-691-8910
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Fax | 304-691-1860
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Provider Business Mailing Address
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Address Line | 1448 10TH AVENUE SUITE 304
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City | HUNTINGTON
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State | WV
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Zip | 25701-3579
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Country | US
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Telephone | 304-691-6381
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Fax | 304-691-8591
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD040888E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 17547
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License Number State | WV
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