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General NPI Number Information
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NPI Number | 1841634946
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Entity Type | Individual
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Provider Name | EMILY BOOTHE D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2013
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1333 SOUTHVIEW DR
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City | BLUEFIELD
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State | WV
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Zip | 24701-4317
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Country | US
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Telephone | 304-327-9205
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 SOUTHVIEW DR
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City | BLUEFIELD
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State | WV
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Zip | 24701-4317
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Country | US
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Telephone | 304-327-9205
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 3196
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License Number State | WV
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