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General NPI Number Information
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NPI Number | 1548255458
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Entity Type | Organization
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Legal Business Name | WAYNE COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 590 RAILROAD AVE
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City | WAYNE
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State | WV
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Zip | 25570-9706
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Country | US
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Telephone | 304-272-6761
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 368
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City | WAYNE
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State | WV
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Zip | 25570-0368
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Country | US
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Telephone | 304-272-6761
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Fax | 304-272-6763
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MELVIN O PLYMALE II
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Credential |
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Telephone | 304-272-6761
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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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