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General NPI Number Information
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NPI Number | 1336576438
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Entity Type | Organization
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Legal Business Name | UNITED HOSPITAL CENTER, INC.
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 327 MEDICAL PARK DR
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City | BRIDGEPORT
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State | WV
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Zip | 26330-9006
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Country | US
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Telephone | 681-342-1842
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Fax | 681-342-1829
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Provider Business Mailing Address
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Address Line | 527 MEDICAL PARK DR STE 400
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City | BRIDGEPORT
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State | WV
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Zip | 26330-9010
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Country | US
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Telephone | 681-342-1842
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Fax | 681-342-1829
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Authorized Official
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Title or Position | DIRECTOR OF CORPORATE COMPLIANCE
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Name | STEVEN MEADOWS
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Credential |
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Telephone | 681-342-1610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | 107
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License Number State | WV
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