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General NPI Number Information
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NPI Number | 1215365028
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTHCARE ASSOCIATES, INC
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 19771 COAL HERITAGE RD STE 102
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City | WELCH
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State | WV
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Zip | 24801-9825
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Country | US
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Telephone | 304-436-6650
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1650
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City | PINEVILLE
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State | WV
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Zip | 24874-1650
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Country | US
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Telephone | 304-732-6735
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING ADMIN
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Name | STEPHANIE SIZEMORE
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Credential |
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Telephone | 304-732-6735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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