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General NPI Number Information
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NPI Number | 1770412033
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Entity Type | Organization
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Legal Business Name | CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 800 GRAND CENTRAL MALL STE 10
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City | PARKERSBURG
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State | WV
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Zip | 26105-4100
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Country | US
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Telephone | 304-424-4288
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 887
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City | MORGANTOWN
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State | WV
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Zip | 26507-0887
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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 | VP FINANCE
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Name | KYLE ANTHONY PIERSON
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Credential |
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Telephone | 304-424-2202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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