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General NPI Number Information
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NPI Number | 1316942329
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Entity Type | Organization
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Legal Business Name | RITCHIE COUNTY AMBULANCE AUTHORITY, INC
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1610 EAST MAIN STREET
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City | HARRISVILLE
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State | WV
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Zip | 26362-9201
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Country | US
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Telephone | 304-643-2369
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Fax | 304-643-5291
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Provider Business Mailing Address
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Address Line | 403 W MYLES AVENUE
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City | PENNSBORO
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State | WV
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Zip | 26415-1330
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Country | US
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Telephone | 304-659-2120
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Fax | 304-659-1086
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Authorized Official
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Title or Position | OFFICE MANAGER/BILLING CLERK
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Name | SHERILYN STAHLMAN
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Credential |
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Telephone | 304-659-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | WV
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