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General NPI Number Information
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NPI Number | 1972802478
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Entity Type | Individual
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Provider Name | MICHAEL CHANEY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 4016 STATE ROUTE 34
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City | HURRICANE
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State | WV
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Zip | 25526-9009
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Country | US
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Telephone | 304-757-7318
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 RIPLEY RD
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City | POINT PLEASANT
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State | WV
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Zip | 25550-8604
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Country | US
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Telephone | 304-675-8721
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0006893
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License Number State | WV
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