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General NPI Number Information
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NPI Number | 1326240714
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Entity Type | Organization
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Legal Business Name | HEALTH MANAGEMENT ASSOCIATES OF WV
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 184 E 2ND AVE STE 1
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City | WILLIAMSON
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State | WV
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Zip | 25661-3602
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Country | US
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Telephone | 304-235-2930
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Fax | 304-235-2933
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Provider Business Mailing Address
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Address Line | PO BOX 1958
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City | WILLIAMSON
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State | WV
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Zip | 25661-1958
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Country | US
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Telephone | 304-235-0466
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Fax | 304-235-0536
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Authorized Official
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Title or Position | ASST PRACTICE MANAGER
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Name | MELINDA EDWARDS
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Credential |
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Telephone | 304-235-0466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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