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General NPI Number Information
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NPI Number | 1346543790
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Entity Type | Organization
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Legal Business Name | CORPORATE HEALTH CONCEPTS, INC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 1831 MARTHA RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-9653
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Country | US
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Telephone | 304-654-1553
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Fax | 484-485-7016
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Provider Business Mailing Address
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Address Line | PO BOX 901
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-2901
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Country | US
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Telephone | 304-654-1553
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Fax | 484-485-7016
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JEFF V. ROBERTS
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Credential |
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Telephone | 304-654-1553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State | WV
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