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General NPI Number Information
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NPI Number | 1043970213
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Entity Type | Organization
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Legal Business Name | OHIO VALLEY PHYSICIANS INC
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 59 THACKER RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-3021
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Country | US
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Telephone | 606-637-2256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 390
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City | HUNTINGTON
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State | WV
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Zip | 25708-0390
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Country | US
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Telephone | 304-429-1088
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Fax | 304-696-1623
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ASHLEY ENDLICH
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Credential |
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Telephone | 304-429-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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