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General NPI Number Information
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NPI Number | 1205629623
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Entity Type | Individual
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Provider Name | MS. ELIZABETH HERSHEY
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | PO BOX 92
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City | BELINGTON
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State | WV
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Zip | 26250-0092
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Country | US
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Telephone | 304-823-0223
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Fax | 304-823-0223
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Provider Business Mailing Address
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Address Line | 345 CLARK ST
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City | NEW MARTINSVILLE
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State | WV
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Zip | 26155-1229
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Country | US
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Telephone | 904-609-3340
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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