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General NPI Number Information
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NPI Number | 1518092634
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Entity Type | Organization
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Legal Business Name | SENIOR MONONGALIANS INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5000 GREENBAG ROAD SUITE A5
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City | MORGANTOWN
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State | WV
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Zip | 26501
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Country | US
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Telephone | 304-296-9812
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Fax | 304-719-4780
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Provider Business Mailing Address
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Address Line | PO BOX 653
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City | MORGANTOWN
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State | WV
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Zip | 26507
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Country | US
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Telephone | 304-296-9812
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Fax | 304-719-4780
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LISA MARTIN
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Credential |
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Telephone | 304-296-9812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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