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General NPI Number Information
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NPI Number | 1902699945
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Entity Type | Organization
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Legal Business Name | NEW RIVER PSYCHED, PLLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 91 INGERSOLL DR
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City | OAK HILL
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State | WV
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Zip | 25901-9237
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Country | US
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Telephone | 304-890-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 91 INGERSOLL DR
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City | OAK HILL
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State | WV
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Zip | 25901-9237
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Country | US
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Telephone | 304-890-9080
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | NEELY S HARVEY
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Credential | ED.S.
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Telephone | 304-890-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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