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General NPI Number Information
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NPI Number | 1174956262
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Entity Type | Organization
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Legal Business Name | SCOTT COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 1471 N GARDNER ST
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City | SCOTTSBURG
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State | IN
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Zip | 47170-7751
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Country | US
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Telephone | 812-752-8455
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Fax | 812-752-6023
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Provider Business Mailing Address
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Address Line | 1471 N GARDNER ST
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City | SCOTTSBURG
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State | IN
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Zip | 47170-7751
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Country | US
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Telephone | 812-752-8455
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Fax | 812-752-6023
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Authorized Official
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Title or Position | PUBLIC HEALTH OFFICER
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Name | DR. RUSSELL KEVIN ROGERS
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Credential | M.D.
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Telephone | 812-752-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 01035467A
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License Number State | IN
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