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General NPI Number Information
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NPI Number | 1619022084
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Entity Type | Organization
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Legal Business Name | C&E CONSULTING PLLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 630 VISTA PL
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City | MORGANTOWN
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State | WV
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Zip | 26505-2467
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Country | US
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Telephone | 304-599-5073
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Fax | 304-599-1955
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Provider Business Mailing Address
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Address Line | PO BOX 4498
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City | MORGANTOWN
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State | WV
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Zip | 26504-4498
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Country | US
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Telephone | 304-599-5073
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Fax | 304-599-1955
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Authorized Official
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Title or Position | MEMBER
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Name | JAMES CAPAGE
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Credential | PHD
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Telephone | 304-599-5073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 112
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 507
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License Number State | WV
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