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General NPI Number Information
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NPI Number | 1063578938
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Entity Type | Organization
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Legal Business Name | AMFM INC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 240 CAPITOL ST STE 500
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City | CHARLESTON
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State | WV
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Zip | 25301-2297
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Country | US
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Telephone | 304-344-1623
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Fax | 304-344-5853
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Provider Business Mailing Address
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Address Line | 240 CAPITOL ST STE 500
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City | CHARLESTON
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State | WV
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Zip | 25301-2297
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Country | US
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Telephone | 304-344-1623
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Fax | 304-344-5853
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. TODD JONES
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Credential |
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Telephone | 304-344-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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