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General NPI Number Information
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NPI Number | 1497169809
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Entity Type | Organization
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Legal Business Name | MRNB INC
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 2 COURTYARD LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504
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Country | US
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Telephone | 866-201-8712
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Fax | 866-441-5478
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Provider Business Mailing Address
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Address Line | 2 COURTYARD LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1015
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Country | US
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Telephone | 304-908-5586
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Fax | 866-441-5478
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN E BARNES
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Credential |
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Telephone | 866-201-8712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | SP0552473
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License Number State | WV
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