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General NPI Number Information
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NPI Number | 1033533823
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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 | 02/13/2014
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 1 TRILLIUM WAY
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City | CORBIN
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State | KY
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Zip | 40701-8727
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Country | US
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Telephone | 606-528-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 1 TRILLIUM WAY
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City | CORBIN
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State | KY
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Zip | 40701-8727
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Country | US
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Telephone | 606-549-1212
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | RICHARD CARRICO
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Credential |
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Telephone | 502-896-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 100417
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 100417
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License Number State | KY
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