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General NPI Number Information
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NPI Number | 1235311044
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Entity Type | Organization
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Legal Business Name | PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC.
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 122 12TH STREET EXT
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City | PRINCETON
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State | WV
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Zip | 24740-2352
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Country | US
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Telephone | 304-487-7000
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Fax | 304-487-7370
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Provider Business Mailing Address
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Address Line | 122 12TH STREET EXTENSION
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City | PRINCETON
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State | WV
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Zip | 24740-2352
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Country | US
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Telephone | 304-487-7000
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Fax | 304-487-7370
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Authorized Official
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Title or Position | VP OF FINANCE/CFO
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Name | DIANE LYNN SPENCER
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Credential |
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Telephone | 304-487-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 104
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License Number State | WV
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