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General NPI Number Information
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NPI Number | 1174496822
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL HEALTH CENTERS OF WEST VIRGINIA PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1 SUGAR MAPLE LN
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City | BUFFALO
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State | WV
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Zip | 25033-9430
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Country | US
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Telephone | 888-997-2669
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Fax |
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Provider Business Mailing Address
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Address Line | 5080 SPECTRUM DR STE 1200W
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City | ADDISON
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State | TX
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Zip | 75001-4624
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | JOHN ANDERSON
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Credential |
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Telephone | 972-364-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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