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General NPI Number Information
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NPI Number | 1104638287
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Entity Type | Organization
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Legal Business Name | SUMMERS COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 151 PLEASANT ST
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City | HINTON
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State | WV
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Zip | 25951-2540
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Country | US
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Telephone | 304-466-3388
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Fax | 304-466-1230
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Provider Business Mailing Address
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Address Line | PO BOX 898
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City | HINTON
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State | WV
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Zip | 25951-0898
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Country | US
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Telephone | 304-466-3388
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Fax | 304-466-1230
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CELENA HOPE COOPER
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Credential |
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Telephone | 304-466-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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