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General NPI Number Information
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NPI Number | 1508260647
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Entity Type | Organization
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Legal Business Name | COALFIELD COMMUNITY ACTION PARTNERSHIP, INC. (CM)
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 1626 W 3RD AVE
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City | WILLIAMSON
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State | WV
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Zip | 25661-3007
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Country | US
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Telephone | 304-235-1701
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Fax | 304-235-1706
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Provider Business Mailing Address
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Address Line | PO BOX 1406
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City | WILLIAMSON
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State | WV
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Zip | 25661-1406
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Country | US
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Telephone | 304-235-1701
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Fax | 304-235-1706
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. TIM SALMONS
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Credential |
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Telephone | 304-235-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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