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General NPI Number Information
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NPI Number | 1598962359
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Entity Type | Organization
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Legal Business Name | BARBOUR COUNTY SENIOR CENTER
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 CHURCH ST
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City | PHILIPPI
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State | WV
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Zip | 26416-1105
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Country | US
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Telephone | 304-457-4545
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Fax | 304-457-2017
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Provider Business Mailing Address
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Address Line | 101 CHURCH ST
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City | PHILIPPI
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State | WV
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Zip | 26416-1105
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Country | US
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Telephone | 304-457-4545
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Fax | 304-457-2017
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FAENELL BARTLETT
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Credential |
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Telephone | 304-457-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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