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General NPI Number Information
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NPI Number | 1174792105
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Entity Type | Organization
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Legal Business Name | WETZEL COUNTY BOARD OF EDUCATION
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 333 FOUNDRY ST
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City | NEW MARTINSVILLE
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State | WV
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Zip | 26155-1142
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Country | US
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Telephone | 304-455-2441
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Fax | 304-455-3446
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Provider Business Mailing Address
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Address Line | 333 FOUNDRY ST
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City | NEW MARTINSVILLE
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State | WV
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Zip | 26155-1142
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Country | US
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Telephone | 304-455-2441
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Fax | 304-455-3446
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Authorized Official
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Title or Position | MEDICAID SPECIALIST
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Name | KAREN WOJCIK
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Credential |
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Telephone | 304-231-3820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | WV
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