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General NPI Number Information
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NPI Number | 1194852855
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Entity Type | Organization
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Legal Business Name | ALLAN D. HALBERT, M.D.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4071 TATES CREEK CENTRE DR SUITE 100
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City | LEXINGTON
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State | KY
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Zip | 40517-3062
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Country | US
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Telephone | 858-273-3888
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Fax | 859-977-0170
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Provider Business Mailing Address
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Address Line | 4071 TATES CREEK CENTRE DR SUITE 100
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City | LEXINGTON
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State | KY
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Zip | 40517-3062
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Country | US
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Telephone | 858-273-3888
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Fax | 859-977-0170
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Authorized Official
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Title or Position | OWNER
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Name | ALLAN DUANE HALBERT
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Credential | MD
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Telephone | 859-273-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20775
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License Number State | KY
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