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General NPI Number Information
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NPI Number | 1669541215
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Entity Type | Organization
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Legal Business Name | COLUMBIA-ST JOSEPHS HEALTHCARE SYSTEM LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 600 18TH ST SUITE 303
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City | PARKERSBURG
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State | WV
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Zip | 26101-3231
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Country | US
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Telephone | 304-424-4146
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Fax | 304-424-4147
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Provider Business Mailing Address
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Address Line | 600 18TH ST SUITE 303
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City | PARKERSBURG
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State | WV
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Zip | 26101-3231
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Country | US
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Telephone | 304-424-4146
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Fax | 304-424-4147
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Authorized Official
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Title or Position | CEO
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Name | MR. JON J MCDOWELL
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Credential |
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Telephone | 304-424-4057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2085
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License Number State | WV
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