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General NPI Number Information
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NPI Number | 1205085495
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH HEALTH CORPORATION, INC.
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 250 PARK ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1760
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Country | US
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Telephone | 270-796-6540
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Fax | 270-796-6576
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Provider Business Mailing Address
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Address Line | PO BOX 2697
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City | BOWLING GREEN
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State | KY
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Zip | 42102-7697
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Country | US
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Telephone | 270-796-6540
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Fax | 270-796-6576
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT & CFO
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Name | MICHELE W. LAWLESS
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Credential |
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Telephone | 270-745-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology 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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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