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General NPI Number Information
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NPI Number | 1376504423
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Entity Type | Organization
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Legal Business Name | PARKERSBURG PRIMARY CARE PLLC
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 3 ROSEMAR CIR SUITE D
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City | PARKERSBURG
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State | WV
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Zip | 26104-1203
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Country | US
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Telephone | 304-865-7700
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Fax | 304-865-7703
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Provider Business Mailing Address
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Address Line | 3 ROSEMAR CIR SUITE D
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City | PARKERSBURG
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State | WV
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Zip | 26104-1203
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Country | US
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Telephone | 304-865-7700
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Fax | 304-865-7703
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH S POWERS
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Credential | M.D.
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Telephone | 304-865-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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