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General NPI Number Information
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NPI Number | 1699190181
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Entity Type | Individual
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Provider Name | HEATHER LEIGH MAYVILLE CNM
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Gender | Female
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 143 PEYTON ST
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-2063
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Country | US
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Telephone | 304-697-2035
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Fax | 304-697-1641
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Provider Business Mailing Address
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Address Line | 3075 US ROUTE 60
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City | HUNTINGTON
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State | WV
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Zip | 25705-8859
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Country | US
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Telephone | 304-528-4600
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 64634
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License Number State | WV
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