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General NPI Number Information
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NPI Number | 1548109572
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Entity Type | Individual
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Provider Name | MICHELE TUNSTALLE LGSW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 172 STEPHENS BRANCH RD
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City | SURVEYOR
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State | WV
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Zip | 25932-7701
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Country | US
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Telephone | 394-923-4559
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Fax |
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Provider Business Mailing Address
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Address Line | 122 STOVERS FORK RD
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City | BECKLEY
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State | WV
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Zip | 25801-9562
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Country | US
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Telephone | 304-923-4559
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | BP00945807
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License Number State | WV
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