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General NPI Number Information
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NPI Number | 1295042414
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Entity Type | Organization
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Legal Business Name | HOSPITALIST MANAGEMENT GROUP
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26102
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Country | US
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Telephone | 304-424-7161
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Fax |
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Provider Business Mailing Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26102
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Country | US
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Telephone | 304-424-7161
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Fax |
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Authorized Official
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Title or Position | MID LEVEL HOSPITALIST
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Name | KIMBERLY GIESEN
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Credential | PA-C
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Telephone | 304-580-6922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | WV
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