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General NPI Number Information
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NPI Number | 1205833043
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Entity Type | Organization
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Legal Business Name | MADISON COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 216 BOGGS LN
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City | RICHMOND
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State | KY
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Zip | 40475-2522
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Country | US
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Telephone | 859-623-3441
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Fax | 859-626-4283
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Provider Business Mailing Address
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Address Line | 216 BOGGS LN
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City | RICHMOND
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State | KY
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Zip | 40475-2522
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Country | US
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Telephone | 859-623-3441
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Fax | 859-626-4283
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Authorized Official
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Title or Position | NURSING ADMINISTRATOR
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Name | MRS. BILLIE DYER JR.
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Credential | RN
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Telephone | 859-626-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 150067
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150057
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License Number State | KY
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