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General NPI Number Information
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NPI Number | 1992940936
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Entity Type | Individual
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Provider Name | MEREDITH AMANDA POWELL-WOOTEN DACM
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Gender | Female
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 3657 TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-9701
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Country | US
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Telephone | 304-952-5324
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Fax |
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Provider Business Mailing Address
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Address Line | 673 WIRE BRANCH RD
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City | ONA
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State | WV
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Zip | 25545-7026
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Country | US
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Telephone | 304-952-5324
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 96241
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License Number State | WV
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