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General NPI Number Information
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NPI Number | 1083274385
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Entity Type | Organization
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Legal Business Name | PLEASANT VALLEY HOSPITAL INC
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2007 2ND ST
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City | MASON
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State | WV
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Zip | 25260-1269
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Country | US
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Telephone | 304-773-5179
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Fax | 304-773-5035
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Provider Business Mailing Address
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Address Line | 2520 VALLEY DR
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City | POINT PLEASANT
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State | WV
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Zip | 25550-2031
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Country | US
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Telephone | 304-675-4340
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Fax | 304-675-6911
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TASHA GROVES
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Credential |
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Telephone | 304-675-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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