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NPI 1790373355

NPI 1790373355 : RACHEL ANN TWIGG : AUGUSTA, WV

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General NPI Number Information
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    NPI Number           |    1790373355
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL ANN TWIGG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2021
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    Last Update Date     |    01/08/2021
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Provider Practice Location Address
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    Address Line         |    2525 OLD MARTINSBURG GRADE RD 
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    City                 |    AUGUSTA
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    State                |    WV
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    Zip                  |    26704-2638
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    Country              |    US
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    Telephone            |    304-813-5101
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2525 OLD MARTINSBURG GRADE RD 
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    City                 |    AUGUSTA
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    State                |    WV
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    Zip                  |    26704-2638
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    Country              |    US
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    Telephone            |    304-813-5101
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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