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General NPI Number Information
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NPI Number | 1063696003
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Entity Type | Organization
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Legal Business Name | JOHN C TAPP MD
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 414 OLD MORGANTOWN RD
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2842
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Country | US
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Telephone | 270-781-1483
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Fax | 270-781-5101
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Provider Business Mailing Address
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Address Line | 414 OLD MORGANTOWN RD
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2842
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Country | US
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Telephone | 270-781-1483
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Fax | 270-781-5101
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN C TAPP
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Credential | MD
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Telephone | 270-781-1483
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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 | AT3037252
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License Number State | KY
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