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General NPI Number Information
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NPI Number | 1740163724
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Entity Type | Organization
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Legal Business Name | COUNTY OF WAYNE
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 6732 OLD N&W RAILROAD ROAD
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City | GENOA
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State | WV
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Zip | 25517
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Country | US
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Telephone | 304-544-6239
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Fax |
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Provider Business Mailing Address
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Address Line | 700 HENDRICKS ST
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City | WAYNE
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State | WV
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Zip | 25570-1148
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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 | EVP & CFO
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Name | BRIAN DOUGHTY
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Credential |
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Telephone | 304-340-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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