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General NPI Number Information
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NPI Number | 1073519922
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Entity Type | Organization
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Legal Business Name | NICHOLAS-WEBSTER HOME HEALTH
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 STEVENS RD
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-9704
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Country | US
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Telephone | 304-872-5328
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Fax | 304-872-6128
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Provider Business Mailing Address
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Address Line | 1 STEVENS RD
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-9704
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Country | US
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Telephone | 304-872-5328
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Fax | 304-872-6128
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DIANA LYNN SEARS
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Credential |
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Telephone | 304-872-5328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NA
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License Number State | WV
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