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General NPI Number Information
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NPI Number | 1386192185
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Entity Type | Organization
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Legal Business Name | ALL CARE OF WV
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 307 11TH ST
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City | ELKINS
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State | WV
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Zip | 26241-3517
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Country | US
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Telephone | 681-298-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 TUNNEL MOUNTAIN RD
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City | ELKINS
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State | WV
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Zip | 26241-1232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | REBECCA HIGGINS
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Credential |
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Telephone | 681-298-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2332-7471
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License Number State | WV
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