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General NPI Number Information
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NPI Number | 1699740472
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Entity Type | Organization
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Legal Business Name | VALLEY HEALTH SYSTEMS INC
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 408 ALEXANDER STREET
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City | CEDAR GROVE
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State | WV
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Zip | 25039
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Country | US
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Telephone | 304-595-1770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1680
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City | HUNTINGTON
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State | WV
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Zip | 25717-1680
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | RICHARD WEINBERGER
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Credential |
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Telephone | 304-525-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3400
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11412
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | WV
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