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General NPI Number Information
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NPI Number | 1932488939
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Entity Type | Organization
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Legal Business Name | BARBOURSVILLE URGENT CARE INC.
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 2 CHATEAU LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1626
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Country | US
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Telephone | 304-690-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CHATEAU LN
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1626
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Country | US
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Telephone | 304-690-0000
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. JOHN PAUL SHORT
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Credential | DO
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Telephone | 304-690-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 1982
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 1982
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License Number State | WV
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