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General NPI Number Information
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NPI Number | 1336200344
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Entity Type | Organization
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Legal Business Name | GRAFTON CITY HOSPITAL INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 500 MARKET ST
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City | GRAFTON
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State | WV
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Zip | 26354-1184
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Country | US
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Telephone | 304-265-0400
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Fax | 304-265-6417
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Provider Business Mailing Address
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Address Line | 500 MARKET ST
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City | GRAFTON
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State | WV
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Zip | 26354-1184
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Country | US
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Telephone | 304-265-0400
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Fax | 304-265-6417
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JEFFREY E LILLEY
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Credential |
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Telephone | 304-265-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 14
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License Number State | WV
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