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General NPI Number Information
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NPI Number | 1134417975
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH ASSOCIATION
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 200 ACADEMY DRIVE
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City | RIPLEY
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State | WV
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Zip | 25271-9101
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Country | US
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Telephone | 304-372-2731
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Fax | 304-372-2749
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Provider Business Mailing Address
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Address Line | PO BOX 720
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City | RIPLEY
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State | WV
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Zip | 25271-0720
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Country | US
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Telephone | 304-372-2731
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Fax | 304-373-3749
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. STEPHANIE L MCCOY
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Credential |
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Telephone | 304-373-1475
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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 | 52
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License Number State | WV
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