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General NPI Number Information
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NPI Number | 1780791152
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Entity Type | Individual
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Provider Name | BARBARA NIGHTENGALE NNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DRIVE DEPARTMENT OF PEDIATRICS
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City | MORGANTOWN
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State | WV
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Zip | 26506-9214
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Country | US
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Telephone | 304-293-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DRIVE DEPARTMENT OF PEDIATRICS
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City | MORGANTOWN
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State | WV
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Zip | 26506-9214
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Country | US
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Telephone | 304-293-1202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 22441
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License Number State | WV
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