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General NPI Number Information
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NPI Number | 1497822746
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Entity Type | Organization
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Legal Business Name | MINERAL COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | HARLEY O. STAGGERS SR. DRIVE
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City | KEYSER
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State | WV
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Zip | 26726-9401
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Country | US
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Telephone | 304-788-1321
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Fax | 304-788-6023
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Provider Business Mailing Address
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Address Line | 541 HARLEY O STAGGERS DR STE 1
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City | KEYSER
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State | WV
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Zip | 26726-8203
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Country | US
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Telephone | 304-788-1321
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Fax | 304-788-6023
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Authorized Official
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Title or Position | PHYSICIAN, DIRECTOR
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Name | DR. CHARLES D BESS
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Credential | M.D.
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Telephone | 304-788-1321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | WV
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