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General NPI Number Information
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NPI Number | 1568772317
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Entity Type | Individual
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Provider Name | ELLEN I KIRBY RN
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 204 JEFFERSON AVENUE GRANT COUNTY BOARD OF EDUCTION
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City | PETERSBURG
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State | WV
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Zip | 26847
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Country | US
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Telephone | 304-267-3595
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Fax | 304-267-3599
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Provider Business Mailing Address
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Address Line | 204 JEFFERSON AVENUE GRANT COUNTY BOARD OF EDUCTION
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City | PETERSBURG
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State | WV
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Zip | 26847
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Country | US
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Telephone | 304-267-3595
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Fax | 304-267-3599
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number |
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License Number State | WV
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