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NPI 1922608017

NPI 1922608017 : STEVE ROTHWELL : WEIRTON, WV

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General NPI Number Information
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    NPI Number           |    1922608017
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE ROTHWELL
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/28/2020
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    Last Update Date     |    02/26/2024
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Provider Practice Location Address
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    Address Line         |    651 COLLIERS WAY 
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    City                 |    WEIRTON
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    State                |    WV
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    Zip                  |    26062-5053
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    Country              |    US
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    Telephone            |    304-723-3423
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    105 WEST ST 
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    City                 |    BETHANY
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    State                |    WV
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    Zip                  |    26032-2033
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    Country              |    US
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    Telephone            |    304-479-1886
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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