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General NPI Number Information
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NPI Number | 1972571537
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Entity Type | Individual
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Provider Name | JAMES M POWELL LICSW
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 57 SUTPHIN LN NEW RIVER HEALTH SBH
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City | SCARBRO
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State | WV
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Zip | 25917-8817
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Country | US
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Telephone | 304-465-1378
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Fax | 304-469-2981
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Provider Business Mailing Address
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Address Line | PO BOX 337 NEW RIVER HEALTH ASSOCIATION INC
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City | SCARBRO
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State | WV
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Zip | 25917
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Country | US
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Telephone | 304-465-1378
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Fax | 304-469-2981
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | DP00138850
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License Number State | WV
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