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General NPI Number Information
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NPI Number | 1174464432
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Entity Type | Individual
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Provider Name | HARLIE ANNA VANNATTER BS
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 8318 US ROUTE 60
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-7648
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Country | US
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Telephone | 304-733-0036
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Fax | 304-736-4835
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Provider Business Mailing Address
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Address Line | 3 PRINCE VALIANT CT
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City | RED HOUSE
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State | WV
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Zip | 25168-7833
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Country | US
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Telephone | 304-415-4865
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | WV
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