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General NPI Number Information
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NPI Number | 1023280674
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Entity Type | Organization
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Legal Business Name | JEFFREY L. RINEY M.D. & ASSOCIATES PLLC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 225 MEDICAL CENTER DR SUITE 209B
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City | PADUCAH
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State | KY
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Zip | 42003-7914
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Country | US
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Telephone | 270-441-4610
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Fax | 270-441-4608
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Provider Business Mailing Address
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Address Line | 225 MEDICAL CENTER DR SUITE 209B
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City | PADUCAH
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State | KY
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Zip | 42003-7914
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Country | US
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Telephone | 270-441-4610
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Fax | 270-441-4608
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY L RINEY
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Credential | M.D.
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Telephone | 270-441-4610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 207Q00000X
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License Number State | KY
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