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General NPI Number Information
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NPI Number | 1437262078
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Entity Type | Organization
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Legal Business Name | MCDOWELL COUNTY COMMISSION ON AGING
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 725 STEWART ST
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City | WELCH
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State | WV
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Zip | 24801-2125
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Country | US
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Telephone | 304-436-6588
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Fax | 304-436-3901
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Provider Business Mailing Address
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Address Line | 725 STEWART ST
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City | WELCH
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State | WV
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Zip | 24801-2125
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Country | US
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Telephone | 304-436-6588
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Fax | 304-436-3901
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Authorized Official
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Title or Position | DIRECTOR
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Name | EMILY YEAGER
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Credential |
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Telephone | 304-436-6588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | WV
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