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General NPI Number Information
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NPI Number | 1942495924
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Entity Type | Organization
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Legal Business Name | PAUL R. WEST, DO
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 2003 MURDOCH AVE SUITE A
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City | PARKERSBURG
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State | WV
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Zip | 26101-2566
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Country | US
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Telephone | 304-422-2390
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Fax | 304-422-2391
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Provider Business Mailing Address
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Address Line | 2003 MURDOCH AVE SUITE A
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City | PARKERSBURG
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State | WV
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Zip | 26101-2566
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Country | US
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Telephone | 304-422-2390
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Fax | 304-422-2391
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Authorized Official
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Title or Position | OWNER
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Name | PAUL R WEST
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Credential | DO
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Telephone | 304-422-2390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 974
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License Number State | WV
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