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General NPI Number Information
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NPI Number | 1225288350
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Entity Type | Organization
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Legal Business Name | ESTILL COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 100 SOUTH IRVINE ROAD
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City | IRVINE
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State | KY
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Zip | 40336-7658
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Country | US
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Telephone | 606-723-5181
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Fax | 606-723-5254
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Provider Business Mailing Address
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Address Line | 365 RIVER DR
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City | IRVINE
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State | KY
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Zip | 40336-1284
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Country | US
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Telephone | 606-723-5181
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Fax | 606-723-5254
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Authorized Official
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Title or Position | PUBLIC HEALTH ADMINISTRATOR
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Name | HAROLD T. GOULD
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Credential |
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Telephone | 606-723-5181
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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 |
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License Number State | KY
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