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General NPI Number Information
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NPI Number | 1578556577
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Entity Type | Organization
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Legal Business Name | SAXE MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 1 CHATEAU LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1627
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Country | US
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Telephone | 304-736-4700
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Fax | 304-736-4029
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Provider Business Mailing Address
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Address Line | 1 CHATEAU LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1627
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Country | US
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Telephone | 304-736-4700
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Fax | 304-736-4029
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MRS. KATHY WOOTEN
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Credential |
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Telephone | 304-736-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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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