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General NPI Number Information
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NPI Number | 1578173837
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Entity Type | Organization
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Legal Business Name | OHIO VALLEY PHYSICIANS INC
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 1520 SLATE CREEK RD STE 201
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City | GRUNDY
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State | VA
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Zip | 24614-6975
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Country | US
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Telephone | 276-242-2001
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Fax | 276-312-8337
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Provider Business Mailing Address
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Address Line | PO BOX 390
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City | HUNTINGTON
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State | WV
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Zip | 25708-0390
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ASHLEY ENDLICH
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Credential |
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Telephone | 304-429-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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