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General NPI Number Information
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NPI Number | 1043615248
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Entity Type | Organization
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Legal Business Name | EPHRAIM MCDOWELL HEALTH RESOURCE, INC
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 102 CITATION DR
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City | DANVILLE
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State | KY
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Zip | 40422-9216
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Country | US
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Telephone | 859-936-0303
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Fax | 859-936-0306
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | DANVILLE
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State | KY
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Zip | 40423-0990
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Country | US
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Telephone | 859-936-0303
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Fax | 859-936-0306
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Authorized Official
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Title or Position | EVP/CFO
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Name | MR. WILLIAM M SNAPP
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Credential |
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Telephone | 859-239-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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