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General NPI Number Information
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NPI Number | 1043977101
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Entity Type | Organization
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Legal Business Name | APPALACHIAN REGIONAL HEALTHCARE, INC
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 725 RITTER DR
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City | GLEN MORGAN
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State | WV
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Zip | 25813-7709
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Country | US
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Telephone | 304-255-3590
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Fax | 304-254-9798
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Provider Business Mailing Address
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Address Line | 725 RITTER DR
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City | GLEN MORGAN
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State | WV
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Zip | 25813-7709
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Country | US
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Telephone | 606-437-1320
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. HOLLIE P HARRIS
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Credential |
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Telephone | 859-226-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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