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General NPI Number Information
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NPI Number | 1932621919
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Entity Type | Organization
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Legal Business Name | EAST MOUNTAIN HEALTH PHYSICIANS, INC.
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1008 TAVERN RD STE 301
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City | MARTINSBURG
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State | WV
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Zip | 25401-2801
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Country | US
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Telephone | 681-247-1070
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Fax | 681-247-1071
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD SUITE 200
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City | WINCHESTER
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State | VA
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Zip | 22601
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Country | US
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Telephone | 540-536-5100
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Fax | 540-536-0104
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Authorized Official
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Title or Position | MANAGER INSURANCE CREDENTIALING
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Name | JILL CHAMBERS
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Credential |
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Telephone | 540-536-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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