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General NPI Number Information
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NPI Number | 1336501501
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Entity Type | Organization
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Legal Business Name | GILMER COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 809 MEDICAL DR SUITE 3
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City | GLENVILLE
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State | WV
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Zip | 26351-1288
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Country | US
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Telephone | 304-462-7351
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Fax | 304-462-8956
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Provider Business Mailing Address
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Address Line | 809 MEDICAL DR SUITE 3
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City | GLENVILLE
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State | WV
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Zip | 26351-1288
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Country | US
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Telephone | 304-462-7351
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Fax | 304-462-8956
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CAROL A BEAM
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Credential |
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Telephone | 304-462-7351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 9135
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License Number State | WV
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