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General NPI Number Information
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NPI Number | 1396072732
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Entity Type | Organization
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Legal Business Name | SJH SERVICES AA INC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 1824 MURDOCH AVE SUITE J
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City | PARKERSBURG
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State | WV
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Zip | 26101-3230
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Country | US
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Telephone | 304-424-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 MURDOCH AVE SUITE J
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City | PARKERSBURG
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State | WV
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Zip | 26101-3230
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Country | US
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Telephone | 304-424-4057
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN D JULIUS
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Credential |
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Telephone | 304-424-4506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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