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General NPI Number Information
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NPI Number | 1093752800
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Entity Type | Organization
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Legal Business Name | PANHANDLE MEDICINE PLLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 35 AIKENS CTR
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City | MARTINSBURG
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State | WV
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Zip | 25404-5708
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Country | US
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Telephone | 304-264-2290
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Fax | 304-264-2295
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Provider Business Mailing Address
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Address Line | 35 AIKENS CTR
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City | MARTINSBURG
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State | WV
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Zip | 25404-5708
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Country | US
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Telephone | 304-264-2290
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Fax | 304-264-2295
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN C VELTMAN
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Credential | MD
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Telephone | 304-264-2290
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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 | 18089
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License Number State | WV
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