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General NPI Number Information
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NPI Number | 1164730271
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Entity Type | Organization
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Legal Business Name | VALLEY HEALTH SYSTEMS INC
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 930 2ND STREET
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City | HUNTINGTON
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State | WV
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Zip | 25701
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Country | US
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Telephone | 304-528-5168
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1680
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City | HUNTINGTON
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State | WV
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Zip | 25717-1680
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Country | US
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Telephone | 304-697-1396
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Fax | 304-697-2086
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE / CFO
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Name | MARY-BETH BRUBECK
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Credential |
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Telephone | 304-525-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | WV
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