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General NPI Number Information
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NPI Number | 1538283957
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN COMMUNITY ACTION COUNCIL
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 540 FIFTH AVE.
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City | HUNTINGTON
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State | WV
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Zip | 25701-1908
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Country | US
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Telephone | 304-525-5151
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Fax | 304-697-8556
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Provider Business Mailing Address
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Address Line | 540 FIFTH AVE.
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City | HUNTINGTON
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State | WV
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Zip | 25701-1908
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Country | US
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Telephone | 304-525-5151
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Fax | 304-697-8556
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Authorized Official
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Title or Position | CEO
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Name | MR. DWIGHT COBURN
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Credential |
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Telephone | 304-525-5151
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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 | 251B0000X
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License Number State | WV
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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