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General NPI Number Information
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NPI Number | 1013713114
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Entity Type | Individual
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Provider Name | BILLIE JO DAMRON
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 4170 GALLIA PIKE
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City | FRANKLIN FURNACE
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State | OH
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Zip | 45629-8812
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Country | US
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Telephone | 866-534-2639
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Fax | 800-480-7578
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Provider Business Mailing Address
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Address Line | 135 E 3RD AVE
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City | SOUTH SHORE
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State | KY
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Zip | 41175-8924
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Country | US
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Telephone | 740-464-3098
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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