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General NPI Number Information
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NPI Number | 1508712118
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Entity Type | Organization
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Legal Business Name | CHARLESTON AREA MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 102 BROOKSHIRE LN
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City | BECKLEY
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State | WV
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Zip | 25801-6761
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Country | US
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Telephone | 304-256-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BROOKSHIRE LN
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City | BECKLEY
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State | WV
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Zip | 25801-6761
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Country | US
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Telephone | 304-256-0770
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Fax |
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Authorized Official
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Title or Position | PAYER ENROLLMENT REPRESENTATIVE
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Name | GINGER PETERS
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Credential |
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Telephone | 304-388-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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