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NPI 1659712958

NPI 1659712958 : CLAIRE-FRANCES HEALTH SERVICES : CHARLESTON, WV

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General NPI Number Information
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    NPI Number           |    1659712958
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLAIRE-FRANCES HEALTH SERVICES 
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Dates
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    Enumeration Date     |    07/15/2013
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    Last Update Date     |    11/18/2021
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Provider Practice Location Address
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    Address Line         |    5528 MACCORKLE AVE SE 
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    City                 |    CHARLESTON
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    State                |    WV
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    Zip                  |    25304-2320
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    Country              |    US
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    Telephone            |    606-325-1115
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    Fax                  |    866-606-4663
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Provider Business Mailing Address
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    Address Line         |    1557 WINCHESTER AVE 
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    City                 |    ASHLAND
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    State                |    KY
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    Zip                  |    41101-7636
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    Country              |    US
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    Telephone            |    606-325-1115
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    Fax                  |    606-324-4663
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. JUSTIN BLAKE GILLUM 
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    Credential           |    PHARMD
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    Telephone            |    606-325-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336H0001X
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    Taxonomy Name        |    Home Infusion Therapy Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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