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General NPI Number Information
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NPI Number | 1174022487
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Entity Type | Individual
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Provider Name | BRIANNA NICOLE VIKARTOSKY NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 3000 MON HEALTH MEDICAL PARK DR STE 3203
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City | MORGANTOWN
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State | WV
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Zip | 26505-1135
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Country | US
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Telephone | 304-598-7313
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Fax | 304-598-7318
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Provider Business Mailing Address
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Address Line | 1200 J D ANDERSON DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-3494
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Country | US
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Telephone | 304-598-7313
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Fax | 304-598-7318
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN85830-NP-C
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License Number State | WV
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