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General NPI Number Information
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NPI Number | 1124066444
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Entity Type | Individual
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Provider Name | BRIAN J VANHOOSE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 1000 SAINT CHRISTOPHER DR EMERGENCY DEPARTMENT
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City | ASHLAND
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State | KY
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Zip | 41101-7034
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Country | US
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Telephone | 606-833-3333
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Fax | 260-407-8004
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Provider Business Mailing Address
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Address Line | 19217 BEAR CREEK RD
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City | CATLETTSBURG
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State | KY
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Zip | 41129-9230
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Country | US
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Telephone | 606-929-9592
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 29737
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 29737
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License Number State | KY
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