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General NPI Number Information
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NPI Number | 1891887097
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Entity Type | Organization
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Legal Business Name | CENTRAL WEST VIRGINIA AGING SERVICES, INC. (CM)
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 8 N SPRING ST
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City | BUCKHANNON
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State | WV
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Zip | 26201-2720
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Country | US
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Telephone | 304-472-0395
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Fax | 304-472-4673
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Provider Business Mailing Address
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Address Line | 8 N SPRING ST PO BOX 186
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City | BUCKHANNON
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State | WV
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Zip | 26201-2720
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Country | US
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Telephone | 304-472-0395
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Fax | 304-472-4673
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | EVELYN POST
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Credential |
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Telephone | 304-472-0395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 156865
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License Number State | WV
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