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General NPI Number Information
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NPI Number | 1396315545
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Entity Type | Individual
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Provider Name | ROSEMARY MACKEY R.N.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 4697 HARRISON ST
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City | BELLAIRE
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State | OH
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Zip | 43906-1338
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Country | US
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Telephone | 740-968-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 2363 LUMBER AVE
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City | WHEELING
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State | WV
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Zip | 26003-5381
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Country | US
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Telephone | 304-231-7556
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 312799
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License Number State | OH
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