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General NPI Number Information
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NPI Number | 1720174584
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Entity Type | Individual
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Provider Name | RICHARD K UMSTOT M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 1201 WASHINGTON ST E SUITE 208
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City | CHARLESTON
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State | WV
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Zip | 25301-1834
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Country | US
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Telephone | 304-388-7270
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Fax | 304-388-7280
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Provider Business Mailing Address
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Address Line | PO BOX 7000
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City | MORGANTOWN
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State | WV
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Zip | 26507-7000
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Country | US
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Telephone | 304-347-1290
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Fax | 304-347-1397
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 15137
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 15137
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 15137
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | TP130
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | TP130
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TP103
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License Number State | KY
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