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General NPI Number Information
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NPI Number | 1689539041
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Entity Type | Individual
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Provider Name | HANNAH ALLISON WATTS FULKS APRN
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3818 TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-9720
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Country | US
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Telephone | 304-812-4955
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Fax |
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Provider Business Mailing Address
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Address Line | 211 OAKWOOD RD
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City | CULLODEN
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State | WV
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Zip | 25510-7595
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Country | US
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Telephone | 304-389-6981
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 124248
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License Number State | WV
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