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General NPI Number Information
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NPI Number | 1821008590
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Entity Type | Individual
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Provider Name | MANJULA NARAYAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2828 1ST AVE SUITE 500
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City | HUNTINGTON
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State | WV
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Zip | 25702
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Country | US
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Telephone | 304-525-6440
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Fax | 304-525-1099
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Provider Business Mailing Address
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Address Line | PO BOX 288
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City | BARBOURSVILLE
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State | NV
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Zip | 25504
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Country | US
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Telephone | 304-525-6440
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Fax | 304-525-1099
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 12321
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License Number State | WV
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