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General NPI Number Information
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NPI Number | 1952649071
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Entity Type | Organization
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Legal Business Name | ENACT, INC.
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 1701 5TH AVE STE 7
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City | CHARLESTON
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State | WV
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Zip | 25387-1900
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Country | US
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Telephone | 304-414-4475
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Fax | 304-414-4476
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Provider Business Mailing Address
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Address Line | 1701 5TH AVE STE 7
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City | CHARLESTON
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State | WV
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Zip | 25387-1900
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Country | US
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Telephone | 304-414-4475
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Fax | 304-414-4476
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DANNY SCALISE
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Credential |
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Telephone | 304-414-4475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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