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NPI 1467673491

NPI 1467673491 : BLUEFIELD HEALTH CARE : BLUEFIELD, WV

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General NPI Number Information
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    NPI Number           |    1467673491
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLUEFIELD HEALTH CARE 
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Dates
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    Enumeration Date     |    05/01/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1421 STADIUM DR 
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    City                 |    BLUEFIELD
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    State                |    WV
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    Zip                  |    24701-3319
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    Country              |    US
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    Telephone            |    304-320-5107
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 217 
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    City                 |    HICO
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    State                |    WV
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    Zip                  |    25854-0217
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    Country              |    US
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    Telephone            |    304-320-5107
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER OWNER
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    Name                 |    MRS. CHRISTINA L ARANIBAR HUNTER 
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    Credential           |    
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    Telephone            |    304-320-5107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    19844
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    License Number State |    WV
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