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General NPI Number Information
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NPI Number | 1679832646
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Entity Type | Organization
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Legal Business Name | HEALTH THRU CARE, LLC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 1397 EARL L. CORE ROAD SABRATON PLAZA
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City | MORGANTOWN
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State | WV
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Zip | 26505
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Country | US
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Telephone | 772-812-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 111 LEGACY DR
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City | MORGANTOWN
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State | WV
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Zip | 26508-4273
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Country | US
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Telephone | 772-812-0033
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | TONI DICHIACCHIO
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Credential | FNP-BC
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Telephone | 772-812-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | WV
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