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General NPI Number Information
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NPI Number | 1194692079
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Entity Type | Individual
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Provider Name | AUTUMN STAPLETON APN
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1600 MEDICAL CENTER DR STE B500
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City | HUNTINGTON
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State | WV
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Zip | 25701-3655
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Country | US
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Telephone | 304-691-1787
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Fax | 304-691-8711
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Provider Business Mailing Address
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Address Line | 2421 MAIN ST
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City | HURRICANE
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State | WV
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Zip | 25526-9546
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Country | US
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Telephone | 304-962-2785
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 106168
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License Number State | WV
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