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NPI 1093914392

NPI 1093914392 : TAMBERLY MCCOY, M.D. PLLC : OWENSBORO, KY

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General NPI Number Information
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    NPI Number           |    1093914392
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAMBERLY MCCOY, M.D. PLLC 
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Dates
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    Enumeration Date     |    07/16/2007
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    Last Update Date     |    06/14/2023
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Provider Practice Location Address
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    Address Line         |    2816 VEACH RD STE 308 
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    City                 |    OWENSBORO
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    State                |    KY
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    Zip                  |    42303-6297
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    Country              |    US
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    Telephone            |    270-926-1150
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    Fax                  |    270-926-2796
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Provider Business Mailing Address
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    Address Line         |    2816 VEACH RD STE 308 
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    City                 |    OWENSBORO
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    State                |    KY
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    Zip                  |    42303-6297
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    Country              |    US
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    Telephone            |    270-926-1150
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    Fax                  |    270-926-2796
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Authorized Official
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    Title or Position    |    DR
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    Name                 |    DR. TAMBERLY L MCCOY 
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    Credential           |    M.D.,PLLC
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    Telephone            |    270-926-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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