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General NPI Number Information
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NPI Number | 1073442190
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Entity Type | Organization
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Legal Business Name | REYNOLDS MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 210 FAIRMONT PIKE RD
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City | WHEELING
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State | WV
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Zip | 26003-1574
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Country | US
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Telephone | 304-221-3020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 616
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City | MORGANTOWN
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State | WV
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Zip | 26507-0616
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOUGLASS EDWARD HARRISON
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Credential |
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Telephone | 304-243-3263
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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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