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General NPI Number Information
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NPI Number | 1104586577
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Entity Type | Organization
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Legal Business Name | ASHLAND HOSPITAL CORPORATION
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 336 N MAYO TRL
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City | PAINTSVILLE
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State | KY
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Zip | 41240-1804
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Country | US
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Telephone | 606-789-8666
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Fax | 606-789-5913
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | ASHLAND
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State | KY
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Zip | 41105-1595
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Country | US
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Telephone | 606-408-6200
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Fax | 606-408-6612
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Authorized Official
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Title or Position | CEO
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Name | SARA MARKS
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Credential |
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Telephone | 606-408-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 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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