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General NPI Number Information
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NPI Number | 1245337328
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Entity Type | Organization
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Legal Business Name | HARDY CO HEALTH DEPT(RFTS)
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 411 SPRING AVE SUITE 101
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City | MOOREFIELD
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State | WV
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Zip | 26836-1036
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Country | US
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Telephone | 304-530-6355
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Fax |
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Provider Business Mailing Address
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Address Line | 411 SPRING AVE SUITE 101
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City | MOOREFIELD
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State | WV
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Zip | 26836-1036
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Country | US
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Telephone | 304-530-6355
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PATRICIA L. WILLIAMS
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Credential | RN
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Telephone | 304-530-6355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | NA
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License Number State |
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