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General NPI Number Information
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NPI Number | 1205932472
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Entity Type | Organization
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Legal Business Name | HARRISON-CLARKSBURG HEALTH DEPARTMENT
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 330 W MAIN ST
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City | CLARKSBURG
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State | WV
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Zip | 26301-2910
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Country | US
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Telephone | 304-623-9308
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Fax | 304-623-9364
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Provider Business Mailing Address
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Address Line | 330 W MAIN ST
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City | CLARKSBURG
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State | WV
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Zip | 26301-2910
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Country | US
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Telephone | 304-623-9308
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Fax | 304-623-9364
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOSEPH CHARLES BUNDY
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Credential | MPA
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Telephone | 304-623-9308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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