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General NPI Number Information
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NPI Number | 1518872886
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Entity Type | Individual
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Provider Name | MRS. JAMIE LEE MCDAVID
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 393 GUY MASON LN
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City | HEDGESVILLE
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State | WV
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Zip | 25427-6311
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Country | US
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Telephone | 304-241-1854
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Fax | 304-381-2029
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Provider Business Mailing Address
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Address Line | 425 INDUSTRIAL AVE
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City | MORGANTOWN
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State | WV
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Zip | 26505-0347
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Country | US
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Telephone | 304-241-1854
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Fax | 304-381-2029
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1162
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License Number State | WV
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