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General NPI Number Information
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NPI Number | 1609194505
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Entity Type | Organization
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Legal Business Name | NEW RIVER HEALTH ASSOCIATION, INC.
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 821 ROBERT C. BYRD DR.
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City | SOPHIA
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State | WV
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Zip | 25921
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Country | US
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Telephone | 304-683-3809
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Fax | 304-683-5761
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Provider Business Mailing Address
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Address Line | 497 MALL RD
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City | OAK HILL
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State | WV
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Zip | 25901-6216
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Country | US
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Telephone | 304-469-2905
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MARISSA JOHNSON
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Credential |
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Telephone | 304-469-2905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | SO0552404
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License Number State | WV
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