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General NPI Number Information
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NPI Number | 1750581310
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Entity Type | Organization
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Legal Business Name | COALFIELD COMMUNITY ACTION PARTNERS
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 815 ALDERSON STREET
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City | WILLIAMSON
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State | WV
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Zip | 25661-3215
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Country | US
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Telephone | 304-235-1701
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Fax | 304-235-1706
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Provider Business Mailing Address
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Address Line | P.O. BOX 1406 815 ALDERSON STREET
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City | WILLIAMSON
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State | WV
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Zip | 25661-3215
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Country | US
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Telephone | 304-235-1701
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Fax | 304-235-1706
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MR. DAVID JEWELL
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Credential |
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Telephone | 304-235-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 10350857
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License Number State | WV
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