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General NPI Number Information
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NPI Number | 1366502254
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Entity Type | Organization
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Legal Business Name | HYGEIA FACILITIES FOUNDATION INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 26 TRINITY LANE
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City | OCEANA
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State | WV
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Zip | 24870-0400
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Country | US
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Telephone | 304-682-6246
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Fax | 304-682-4543
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Provider Business Mailing Address
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Address Line | 37456 COAL RIVER RD
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City | WHITESVILLE
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State | WV
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Zip | 25209-9077
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Country | US
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Telephone | 304-854-1321
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Fax | 304-854-1021
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARGARET L MARTIN
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Credential |
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Telephone | 304-854-1323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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