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General NPI Number Information
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NPI Number | 1376572479
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTHCARE ASSOCIATES INC
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 6TH AVENUE & VINUS STREET FAMILY HEALTHCARE ASSOCIATES INC
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City | GILBERT
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State | WV
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Zip | 25621
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Country | US
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Telephone | 304-664-5699
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Fax | 304-664-5031
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Provider Business Mailing Address
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Address Line | PO BOX 1650 MAIN STREET FAMILY HEALTHCARE ASSOCIATES
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City | PINEVILLE
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State | WV
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Zip | 24874-1650
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Country | US
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Telephone | 304-732-6735
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Fax | 304-732-9218
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUE A MUSCARI SR.
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Credential | DO
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Telephone | 304-294-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 25
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License Number State | WV
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