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General NPI Number Information
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NPI Number | 1104983402
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Entity Type | Organization
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Legal Business Name | BOYD COUNTY PUBLIC SCHOOLS
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12219 MIDLAND TRAIL RD
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City | ASHLAND
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State | KY
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Zip | 41102-7766
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Country | US
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Telephone | 606-929-1160
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Fax | 606-928-2685
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Provider Business Mailing Address
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Address Line | 12219 MIDLAND TRAIL RD
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City | ASHLAND
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State | KY
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Zip | 41102-7766
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Country | US
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Telephone | 606-929-1160
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Fax | 606-928-2685
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Authorized Official
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Title or Position | MEDICAID LIAISON
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Name | MS. SONJA J TAYLOR
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Credential |
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Telephone | 606-929-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 21010012
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License Number State | KY
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