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General NPI Number Information
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NPI Number | 1457799918
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Entity Type | Individual
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Provider Name | MARY J BEGOLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-5340
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Country | US
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Telephone | 304-424-2355
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Fax | 304-424-2596
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Provider Business Mailing Address
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Address Line | PO BOX 763
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City | MORGANTOWN
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State | WV
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Zip | 26507-0763
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Country | US
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Telephone | 800-541-4009
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.129860
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 23295
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G85620
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 27631
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License Number State | WV
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