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General NPI Number Information
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NPI Number | 1639006976
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Entity Type | Organization
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Legal Business Name | AXISPOINT HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 207 NEDRA DR
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1141
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Country | US
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Telephone | 304-360-4316
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Fax |
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Provider Business Mailing Address
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Address Line | 207 NEDRA DR
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/DIRECTOR OF OPERATIO
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Name | RANDELL WAGGONER
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Credential | LPN
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Telephone | 304-360-4316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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