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General NPI Number Information
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NPI Number | 1235566332
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Entity Type | Organization
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Legal Business Name | BRECKINRIDGE HEALTH INC
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 9798 S HIGHWAY 259
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City | MC DANIELS
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State | KY
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Zip | 40152-7227
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Country | US
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Telephone | 270-756-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 9798 S HIGHWAY 259
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City | MC DANIELS
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State | KY
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Zip | 40152-7227
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Country | US
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Telephone | 270-902-4411
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MELISSA S AREHART
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Credential |
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Telephone | 317-805-1042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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