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General NPI Number Information
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NPI Number | 1083630909
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Entity Type | Organization
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Legal Business Name | FRONTIER NURSING HEALTHCARE, INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 96 HWY 80
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City | HYDEN
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State | KY
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Zip | 41749-8500
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Country | US
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Telephone | 606-672-1419
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Fax | 606-672-5245
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Provider Business Mailing Address
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Address Line | 96 HWY 80 HURTS CREEK CENTER P.O. BOX 680
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City | HYDEN
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State | KY
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Zip | 41749-8500
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Country | US
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Telephone | 606-672-1102
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Fax | 606-672-3626
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Authorized Official
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Title or Position | RISK MANAGER
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Name | MRS. CONNIE L. HUBBARD
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Credential |
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Telephone | 606-672-1102
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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 |
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License Number State |
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