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NPI 1730497314

NPI 1730497314 : RALEIGH GENERAL HOSPITAL : BECKLEY, WV

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General NPI Number Information
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    NPI Number           |    1730497314
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    Entity Type          |    Organization 
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    Legal Business Name  |    RALEIGH GENERAL HOSPITAL 
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Dates
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    Enumeration Date     |    09/17/2010
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    Last Update Date     |    04/26/2011
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Provider Practice Location Address
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    Address Line         |    1717 HARPER RD 2ND FLOOR, SUITE G
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    City                 |    BECKLEY
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    State                |    WV
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    Zip                  |    25801-3373
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    Country              |    US
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    Telephone            |    304-461-3909
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    Fax                  |    304-461-3916
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Provider Business Mailing Address
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    Address Line         |    1717 HARPER RD 2ND FLOOR, SUITE G
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    City                 |    BECKLEY
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    State                |    WV
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    Zip                  |    25801-3373
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    Country              |    US
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    Telephone            |    304-461-3909
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    Fax                  |    304-461-3916
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ROBERT N. KLEIN 
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    Credential           |    
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    Telephone            |    61537285125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    
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    License Number State |    
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