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General NPI Number Information
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NPI Number | 1568620870
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Entity Type | Organization
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Legal Business Name | YMCA OF HUNTINGTON
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 935 10TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-3314
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Country | US
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Telephone | 304-525-8127
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Fax | 304-525-8127
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Provider Business Mailing Address
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Address Line | 935 10TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-3314
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Country | US
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Telephone | 304-525-8127
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Fax | 304-525-8127
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Authorized Official
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Title or Position | BRANCH DIRECTOR
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Name | DAN RITCHEY
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Credential | MS
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Telephone | 304-525-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 1034-5996
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License Number State | WV
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