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Scott Alan Naegele

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NPI Number Detailed Information

Provider Information:

Name: Scott Alan Naegele
Gender: M
Provider License Number If Given: 17050

NPI Information:

NPI: 1447253497
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 1/30/2018

Provider Business Mailing Address:

Address: 830 PENNSYLVANIA AVE STE 402
Charleston, WV 25302
Phone Number: 3043448368
Fax Number: 3043428938

Provider Business Practice Location Address:

Address: 830 PENNSYLVANIA AVE SUITE 108
Charleston, WV 25302
Phone Number: 3043448368
Fax Number: 3043428938

Provider Taxonomy:

Primary: 207V00000X
Secondary (if any):
State: WV

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