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General NPI Number Information
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NPI Number | 1982825428
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Entity Type | Individual
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Provider Name | HEATHER L, RATLIFF DO
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 289 DAWKINS DR
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City | LEWISBURG
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State | WV
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Zip | 24901-9674
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Country | US
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Telephone | 304-793-0005
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Fax | 540-283-4470
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Provider Business Mailing Address
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Address Line | 176 MEDICAL CENTER DR
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City | RAINELLE
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State | WV
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Zip | 25962-1064
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Country | US
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Telephone | 304-438-6188
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Fax | 304-438-6188
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 30391
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2127
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 009847
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 3708
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 2127
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License Number State | WV
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