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General NPI Number Information
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NPI Number | 1962605451
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Entity Type | Organization
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Legal Business Name | ULTIMATE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 5170 US RT 60 EAST
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City | HUNTINGTON
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State | WV
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Zip | 25705-0000
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Country | US
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Telephone | 304-528-4600
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Fax | 304-697-0856
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Provider Business Mailing Address
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Address Line | 5170 US RT 60 EAST
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City | HUNTINGTON
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State | WV
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Zip | 25705-0000
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Country | US
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Telephone | 304-528-4600
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Fax | 304-697-0856
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Authorized Official
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Title or Position | CAO
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Name | MR. MARK MORGAN
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Credential |
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Telephone | 304-528-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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