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General NPI Number Information
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NPI Number | 1003142449
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Entity Type | Organization
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Legal Business Name | LEWIS COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 86 WALTER ST
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City | VANCEBURG
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State | KY
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Zip | 41179-5445
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Country | US
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Telephone | 606-796-2632
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Fax | 606-796-9285
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Provider Business Mailing Address
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Address Line | PO BOX 219 185 COMMERICAL DRIVE
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City | VANCEBURG
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State | KY
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Zip | 41179-0219
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Country | US
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Telephone | 606-796-2632
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Fax | 606-796-9285
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | MRS. ANITA JO BERTRAM
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Credential | L.S.W., L.N.H.A
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Telephone | 606-796-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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