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General NPI Number Information
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NPI Number | 1780360255
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Entity Type | Organization
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Legal Business Name | BOONE MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 6952 COAL RIVER RD SUITE A
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City | COMFORT
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State | WV
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Zip | 25049
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Country | US
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Telephone | 304-837-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 701 MADISON AVE
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City | MADISON
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State | WV
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Zip | 25130-1699
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Country | US
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Telephone | 304-369-1230
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VIRGIL UNDERWOOD
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Credential |
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Telephone | 304-369-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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