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General NPI Number Information
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NPI Number | 1265040356
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Entity Type | Organization
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Legal Business Name | REYNOLDS MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 800 WHEELING AVE
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City | GLEN DALE
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State | WV
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Zip | 26038-1660
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Country | US
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Telephone | 304-843-3307
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 616
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City | MORGANTOWN
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State | WV
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Zip | 26507-0616
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Country | US
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Telephone | 304-843-3307
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DAVID FREDERICK HESS
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Credential |
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Telephone | 304-843-3230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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