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General NPI Number Information
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NPI Number | 1689566838
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Entity Type | Organization
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Legal Business Name | PROJECT RAINBOW INC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 391 SCOTT AVE
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City | MORGANTOWN
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State | WV
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Zip | 26508-8804
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Country | US
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Telephone | 304-415-9114
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1414
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City | MORGANTOWN
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State | WV
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Zip | 26507-1414
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Country | US
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Telephone | 304-415-9114
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Fax |
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Authorized Official
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Title or Position | PROJECT COORDINATOR
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Name | ERIN SHELTON
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Credential |
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Telephone | 304-415-9114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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