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General NPI Number Information
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NPI Number | 1386439610
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Entity Type | Individual
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Provider Name | VIRGINIA DAWN MARCUM
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 530 GRAY GABLES RD
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City | CRAWLEY
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State | WV
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Zip | 24931-9738
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Country | US
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Telephone | 304-392-6270
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 209
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City | CHARMCO
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State | WV
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Zip | 25958-0209
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Country | US
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Telephone | 304-687-7569
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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