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General NPI Number Information
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NPI Number | 1932186780
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Entity Type | Organization
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Legal Business Name | INHOME MEDICATIONS WV, INC
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 201 S PRESTON ST SUITE C
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City | RANSON
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State | WV
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Zip | 25438-1628
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Country | US
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Telephone | 304-725-3509
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Fax | 304-728-6946
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Provider Business Mailing Address
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Address Line | 201 S PRESTON ST SUITE C
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City | RANSON
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State | WV
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Zip | 25438-1628
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Country | US
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Telephone | 304-725-3509
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Fax | 304-728-6946
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Authorized Official
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Title or Position | V.P.
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Name | MRS. PATRICIA LONG
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Credential |
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Telephone | 386-698-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0214000228
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 02193
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | X01570
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 07117
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | MP0551276
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License Number State | WV
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