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General NPI Number Information
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NPI Number | 1215096805
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTHCARE OF THE VIRGINIAS LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 403 12TH ST EXTENSION
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City | PRINCETON
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State | WV
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Zip | 24740
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Country | US
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Telephone | 304-431-3333
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Fax | 304-425-5838
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Provider Business Mailing Address
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Address Line | PO BOX 1018
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City | PRINCETON
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State | WV
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Zip | 24740
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Country | US
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Telephone | 304-431-3333
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Fax | 304-425-5838
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Authorized Official
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Title or Position | OWNER
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Name | JAMETTE R HUFFMAN
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Credential | DO
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Telephone | 304-431-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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