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General NPI Number Information
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NPI Number | 1386509594
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Entity Type | Organization
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Legal Business Name | SOCIAL INDEPENDENCE PROGRAM OF WEST VIRGINIA
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 51 MIDWAY RD
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City | BELINGTON
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State | WV
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Zip | 26250-7799
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Country | US
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Telephone | 304-704-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 51 MIDWAY RD
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City | BELINGTON
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State | WV
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Zip | 26250-7799
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Country | US
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Telephone | 304-704-5800
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ PRESIDENT
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Name | ROSS BROWN
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Credential |
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Telephone | 304-704-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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