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General NPI Number Information
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NPI Number | 1467450353
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Entity Type | Organization
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Legal Business Name | WAR MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 1 HEALTHY WAY
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City | BERKELEY SPRINGS
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State | WV
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Zip | 25411-7463
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Country | US
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Telephone | 304-258-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HEALTHY WAY
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City | BERKELEY SPRINGS
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State | WV
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Zip | 25411-7463
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | RENEE NEVADA JOHNSON
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Credential |
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Telephone | 540-536-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 60
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License Number State | WV
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