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General NPI Number Information
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NPI Number | 1376670174
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Entity Type | Organization
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Legal Business Name | SHELTERING ARMS INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 122 2ND AVE
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City | FAYETTEVILLE
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State | WV
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Zip | 25840-1035
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Country | US
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Telephone | 304-574-3133
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | FAYETTEVILLE
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State | WV
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Zip | 25840-0037
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Country | US
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Telephone | 304-574-3133
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RANDY NMN PRINCE
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Credential |
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Telephone | 304-574-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | BO200
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License Number State | WV
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