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General NPI Number Information
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NPI Number | 1669478111
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Entity Type | Organization
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Legal Business Name | PARKERSBURG RADIOLOGY SERVICES, INC.
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-5340
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Country | US
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Telephone | 304-422-6573
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Fax | 304-485-4466
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Provider Business Mailing Address
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Address Line | PO BOX 779
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City | PARKERSBURG
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State | WV
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Zip | 26102-0779
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Country | US
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Telephone | 304-422-6573
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Fax | 304-485-4466
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. W MICHAEL HENSLEY
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Credential | MD
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Telephone | 304-422-6573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | WV
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