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General NPI Number Information
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NPI Number | 1508866633
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Entity Type | Individual
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Provider Name | KURT M NELLHAUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 1738 LOUDON HEIGHTS RD
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City | CHARLESTON
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State | WV
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Zip | 25314-1546
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Country | US
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Telephone | 304-546-9524
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Fax |
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Provider Business Mailing Address
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Address Line | 501 MORRIS ST
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City | CHARLESTON
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State | WV
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Zip | 25301-1326
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Country | US
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Telephone | 304-388-3574
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Fax | 304-388-6481
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 15554
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 15554
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 15554
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License Number State | WV
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