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General NPI Number Information
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NPI Number | 1437411766
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Entity Type | Organization
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Legal Business Name | VETERNS HOSPITAL OF CLARKSBURG
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 5 WIMER AVE
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City | BUCKHANNON
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State | WV
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Zip | 26201-2435
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Country | US
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Telephone | 304-704-6030
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WIMER AVE
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City | BUCKHANNON
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State | WV
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Zip | 26201-2435
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Country | US
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Telephone | 304-704-6030
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Fax |
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Authorized Official
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Title or Position | RN
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Name | DONNA DUNNLAP
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Credential | NURSE MANAGER
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Telephone | 304-623-3461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 50810
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License Number State | WV
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