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General NPI Number Information
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NPI Number | 1871544213
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Entity Type | Organization
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Legal Business Name | NORTHERN WV HOME HEALTH, LLC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 25072 NORTHWESTERN PIKE
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City | ROMNEY
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State | WV
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Zip | 26757-0288
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Country | US
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Telephone | 888-797-3787
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Fax | 540-536-3284
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD STE 320
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City | WINCHESTER
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State | VA
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Zip | 22601-2889
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Country | US
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Telephone | 540-536-5100
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Fax | 540-536-0235
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Authorized Official
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Title or Position | MANAGER INSURANCE CREDENTIALING
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Name | JILL CHAMBERS
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Credential |
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Telephone | 540-536-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 02
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License Number State | WV
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