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General NPI Number Information
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NPI Number | 1114107133
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Entity Type | Organization
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Legal Business Name | CARL STEPHEN HIGH MD
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 909 GORMAN AVE
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City | ELKINS
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State | WV
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Zip | 26241-4109
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Country | US
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Telephone | 304-636-9242
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Fax | 304-636-8152
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Provider Business Mailing Address
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Address Line | PO BOX 390 909 GORMAN AVE.
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City | ELKINS
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State | WV
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Zip | 26241-0390
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Country | US
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Telephone | 304-636-9242
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Fax | 304-636-8152
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. APRIL M BODKIN
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Credential |
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Telephone | 304-636-9242
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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 | 13007
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License Number State | WV
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