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General NPI Number Information
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NPI Number | 1659585453
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Entity Type | Organization
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Legal Business Name | JAMES P. FRUM
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 30 MEDICAL PARK TOWER 3 SUITE 223
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City | WHEELING
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State | WV
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Zip | 26003-6391
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Country | US
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Telephone | 304-243-7879
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Fax | 304-243-3901
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Provider Business Mailing Address
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Address Line | 30 MEDICAL PARK TOWER 3 SUITE 223
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City | WHEELING
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State | WV
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Zip | 26003-6391
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Country | US
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Telephone | 304-243-7879
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Fax | 304-243-3901
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Authorized Official
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Title or Position | COORDINATOR
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Name | MARY E ELLISON
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Credential |
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Telephone | 304-243-7879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | A-0017
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License Number State | WV
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