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General NPI Number Information
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NPI Number | 1922068469
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Entity Type | Organization
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Legal Business Name | HOSPITAL DEVELOPMENT CO
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 200 HOSPITAL DR
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City | SPENCER
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State | WV
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Zip | 25276-1050
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Country | US
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Telephone | 304-927-6819
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Fax | 304-927-6837
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Provider Business Mailing Address
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Address Line | 200 HOSPITAL DR
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City | SPENCER
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State | WV
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Zip | 25276-1050
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Country | US
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Telephone | 304-927-6844
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Fax | 304-927-6837
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Authorized Official
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Title or Position | CEO
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Name | DOUG BENTZ
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Credential |
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Telephone | 304-927-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 74
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License Number State | WV
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