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General NPI Number Information
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NPI Number | 1306809215
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Entity Type | Organization
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Legal Business Name | CRIGGER AND ASSOCIATES ENT PLLC
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 4607 MACCORKLE AVE SW STE 406
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1364
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Country | US
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Telephone | 304-767-7980
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Fax | 304-767-7989
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Provider Business Mailing Address
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Address Line | PO BOX 9289
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-0289
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Country | US
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Telephone | 304-767-7980
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Fax | 304-767-7989
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES D CRIGGER
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Credential | MD
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Telephone | 304-767-7980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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