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General NPI Number Information
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NPI Number | 1023151842
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Entity Type | Organization
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Legal Business Name | PURCHASE DISTRICT HEALTH DEPARTMENT
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 2750 MOSCOW AVE
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City | HICKMAN
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State | KY
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Zip | 42050-2046
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Country | US
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Telephone | 270-236-2070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2357
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City | PADUCAH
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State | KY
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Zip | 42002-2357
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Country | US
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Telephone | 270-444-9625
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Fax |
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | RONALD K. KOSTER
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Credential |
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Telephone | 270-444-9625
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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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