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General NPI Number Information
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NPI Number | 1093802977
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Entity Type | Individual
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Provider Name | FIONA MARY UPWARD P.T., G.C.F.P.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1085 VAN VOORHIS RD SUITE 200
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City | MORGANTOWN
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State | WV
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Zip | 26505-3497
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Country | US
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Telephone | 304-599-9250
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Fax | 304-599-9254
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Provider Business Mailing Address
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Address Line | PO BOX 4325
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City | STAR CITY
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State | WV
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Zip | 26504-4325
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Country | US
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Telephone | 304-599-3668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 001208
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License Number State | WV
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