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General NPI Number Information
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NPI Number | 1235113713
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Entity Type | Organization
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Legal Business Name | WHITLEY COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 368 PENNY LN
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City | WILLIAMSBURG
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State | KY
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Zip | 40769-7481
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Country | US
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Telephone | 606-549-0886
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Fax | 606-549-2665
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Provider Business Mailing Address
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Address Line | 368 PENNY LN
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City | WILLIAMSBURG
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State | KY
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Zip | 40769-7481
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Country | US
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Telephone | 606-549-0886
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Fax | 606-549-2665
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATIVE SERVICES
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Name | MRS. CYNTHIA GAIL TIMPERIO
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Credential |
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Telephone | 606-549-3380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 150034
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License Number State | KY
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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 | 150034
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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 | 150034
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License Number State | KY
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