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General NPI Number Information
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NPI Number | 1831531904
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Entity Type | Individual
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Provider Name | LETITIA JEAN GOLDEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 706 OAKMOUND RD
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City | CLARKSBURG
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State | WV
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Zip | 26301
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Country | US
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Telephone | 304-622-7511
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Fax | 304-924-5460
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Provider Business Mailing Address
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Address Line | 706 OAKMOUND RD
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City | CLARKSBURG
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State | WV
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Zip | 26301
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Country | US
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Telephone | 304-622-7511
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Fax | 304-924-5460
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 77023
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN77023
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License Number State | WV
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