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General NPI Number Information
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NPI Number | 1770886749
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Entity Type | Organization
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Legal Business Name | EMED TECHNOLOGIES & BILLING LLC
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 101 CARRIAGE PT SUITE 103
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City | HURRICANE
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State | WV
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Zip | 25526-1526
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Country | US
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Telephone | 304-760-6131
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Fax | 304-760-6134
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Provider Business Mailing Address
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Address Line | 109 COLLINWOOD DR
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City | OAK HILL
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State | WV
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Zip | 25901-3303
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Country | US
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Telephone | 304-760-6131
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Fax | 304-760-6134
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Authorized Official
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Title or Position | OWNER
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Name | PHIL PARVIN
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Credential |
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Telephone | 304-760-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 22374469
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License Number State | WV
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