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General NPI Number Information
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NPI Number | 1902276603
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Entity Type | Organization
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Legal Business Name | MEDICAL MATTERS LLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 968 RITTER DR
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City | BEAVER
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State | WV
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Zip | 25813-9554
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Country | US
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Telephone | 866-684-0674
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Fax | 304-252-2552
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Provider Business Mailing Address
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Address Line | 968 RITTER DR
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City | BEAVER
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State | WV
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Zip | 25813-9554
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Country | US
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Telephone | 866-684-0674
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Fax | 304-252-2552
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID STEVENS
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Credential |
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Telephone | 866-684-0674
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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 |
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License Number State |
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