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General NPI Number Information
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NPI Number | 1255361176
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Entity Type | Organization
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Legal Business Name | ASHLAND PSYCHIATRY ASSOCIATES, PSC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 401 22ND ST
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City | ASHLAND
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State | KY
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Zip | 41101-7807
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Country | US
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Telephone | 606-329-9636
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Fax | 606-329-2762
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Provider Business Mailing Address
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Address Line | 401 22ND ST P.O. BOX 972
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City | ASHLAND
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State | KY
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Zip | 41101-7807
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Country | US
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Telephone | 606-329-9636
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Fax | 606-329-2762
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YU CHO SHIH
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Credential | M.D.
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Telephone | 606-329-9636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 32788
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License Number State | KY
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