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General NPI Number Information
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NPI Number | 1518527332
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Entity Type | Organization
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Legal Business Name | KANAWHA HOME HEALTH CASE MANAGEMENT
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 20 BROOKS ST
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City | CHARLESTON
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State | WV
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Zip | 25301-2903
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Country | US
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Telephone | 681-265-3931
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Fax | 681-265-5123
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Provider Business Mailing Address
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Address Line | 3324 PENNSYLVANIA AVE
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City | CHARLESTON
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State | WV
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Zip | 25302-4656
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Country | US
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Telephone | 681-265-3931
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Fax | 681-265-5123
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARBARA MOSLEY
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Credential | RN
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Telephone | 681-265-3931
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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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