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General NPI Number Information
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NPI Number | 1205879863
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Entity Type | Individual
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Provider Name | NANCY J MUNN MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 1540 SPRING VALLEY DR
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City | HUNTINGTON
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State | WV
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Zip | 25704-9300
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Country | US
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Telephone | 304-429-6755
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 MEDICAL CENTER DR SUITE G500
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-691-1064
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Fax | 304-691-1693
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 13726
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 13726
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 13726
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 13726
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License Number State | WV
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