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General NPI Number Information
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NPI Number | 1114848322
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Entity Type | Organization
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Legal Business Name | EASTERN KENTUCKY INTEGRATED HEALTH CARE INC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 6263 HIGHWAY 119
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City | WHITESBURG
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State | KY
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Zip | 41858
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Country | US
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Telephone | 606-634-4598
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Fax | 606-832-0194
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Provider Business Mailing Address
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Address Line | PO BOX 517
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City | FLEMING NEON
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State | KY
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Zip | 41840-0517
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Country | US
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Telephone | 606-634-4598
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Fax | 606-832-0194
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRENDA J. BAKER
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Credential | MD
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Telephone | 606-634-4598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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