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General NPI Number Information
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NPI Number | 1164174355
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Entity Type | Organization
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Legal Business Name | ALL HEALTHCARE LLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 332 15TH ST
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City | ASHLAND
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State | KY
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Zip | 41101-7626
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Country | US
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Telephone | 606-388-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 332 15TH ST
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City | ASHLAND
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State | KY
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Zip | 41101-7626
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Country | US
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Telephone | 606-388-2024
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Fax | 606-420-0204
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Authorized Official
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Title or Position | OWNER
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Name | ERICA SHUMWAY
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Credential | OWNER
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Telephone | 606-371-9945
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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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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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