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General NPI Number Information
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NPI Number | 1023520434
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTHCARE SYSTEM INC
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2601 KENTUCKY AVE MEDICAL PARK 1, SUITE 101
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City | PADUCAH
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State | KY
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Zip | 42003-3817
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Country | US
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Telephone | 270-575-5870
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Fax | 270-575-5873
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Provider Business Mailing Address
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Address Line | 2601 KENTUCKY AVE MEDICAL PARK 1, SUITE 101
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City | PADUCAH
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State | KY
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Zip | 42003-3817
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Country | US
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Telephone | 270-575-5870
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Fax | 270-575-5873
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Authorized Official
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Title or Position | SYSTEMS MANAGER
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Name | BENJAMIN KNUCKLES
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Credential | PHARMD, MBA
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Telephone | 502-928-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07855
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License Number State | KY
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