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General NPI Number Information
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NPI Number | 1245047232
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Entity Type | Organization
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Legal Business Name | CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1322 MAPLEWOOD AVE
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City | RONCEVERTE
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State | WV
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Zip | 24970-8016
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Country | US
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Telephone | 304-648-6006
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ASSOCIATION DR STE 102
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City | CHARLESTON
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State | WV
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Zip | 25311-1298
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Country | US
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Telephone | 304-388-0266
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT MANAGER
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Name | BRANDI WHITE
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Credential |
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Telephone | 304-388-0266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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