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General NPI Number Information
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NPI Number | 1578269221
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Entity Type | Organization
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Legal Business Name | CITY OF CHARLESTON W V
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 808 VIRGINIA ST W
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City | CHARLESTON
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State | WV
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Zip | 25302-1820
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Country | US
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Telephone | 304-348-8098
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Fax |
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Provider Business Mailing Address
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Address Line | 808 VIRGINIA ST W
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City | CHARLESTON
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State | WV
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Zip | 25302-1820
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Country | US
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Telephone | 904-436-0154
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Fax |
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | STEVEN ANDREW WOOD
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Credential |
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Telephone | 304-348-8014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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