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General NPI Number Information
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NPI Number | 1659647931
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Entity Type | Organization
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Legal Business Name | P AND P HEALTH SERVICES, INC
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | RR 4 BOX 19
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City | CAMERON
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State | WV
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Zip | 26033-9520
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Country | US
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Telephone | 304-686-3616
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Fax | 304-686-3616
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Provider Business Mailing Address
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Address Line | 26 SUN VLY
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City | GLEN DALE
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State | WV
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Zip | 26038-1222
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Country | US
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Telephone | 304-280-4501
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Fax | 304-845-5214
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA A MARONEY
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Credential | R.T.
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Telephone | 304-280-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 4801
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License Number State | WV
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