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General NPI Number Information
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NPI Number | 1841153392
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Entity Type | Organization
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Legal Business Name | WIRT COUNTY HEALTH SERVICES ASSOCIATION INC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1601 34TH ST
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City | VIENNA
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State | WV
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Zip | 26105-2409
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Country | US
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Telephone | 304-420-9551
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | ELIZABETH
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State | WV
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Zip | 26143-0609
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Country | US
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Telephone | 304-861-4135
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Fax | 304-275-4798
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Authorized Official
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Title or Position | CEO
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Name | ROB DUDLEY
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Credential |
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Telephone | 304-861-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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