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General NPI Number Information
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NPI Number | 1346193968
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Entity Type | Individual
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Provider Name | JOHN ALLEN RATLIFF
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Gender | Male
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 700 CHAPPELL RD
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City | CHARLESTON
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State | WV
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Zip | 25304-2704
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Country | US
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Telephone | 304-343-1950
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Fax | 304-343-1947
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Provider Business Mailing Address
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Address Line | 700 CHAPPELL RD STE 2
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City | CHARLESTON
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State | WV
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Zip | 25304-2704
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Country | US
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Telephone | 304-343-1950
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 119887
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License Number State | WV
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