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General NPI Number Information
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NPI Number | 1215736988
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Entity Type | Organization
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Legal Business Name | WMC PHYSICIAN PRACTICES LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 651 COLLIERS WAY STE 201
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City | WEIRTON
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State | WV
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Zip | 26062-5055
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Country | US
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Telephone | 304-723-4700
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Fax | 304-723-4719
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Provider Business Mailing Address
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Address Line | 651 COLLIERS WAY
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City | WEIRTON
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State | WV
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Zip | 26062-5053
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Country | US
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Telephone | 304-797-6200
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Fax |
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Authorized Official
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Title or Position | VP FINANCE
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Name | DREW SCHAUBLE
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Credential |
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Telephone | 304-598-6681
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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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