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General NPI Number Information
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NPI Number | 1255645040
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Entity Type | Organization
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Legal Business Name | ROCKCASTLE COUNTY HOSPITAL, INC.
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 140 NEWCOMB AVE
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2728
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Country | US
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Telephone | 606-256-4148
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Fax | 606-256-7410
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Provider Business Mailing Address
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Address Line | 140 NEWCOMB AVE
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2728
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Country | US
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Telephone | 606-256-4148
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Fax | 606-256-7410
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BRANDY L BULLOCK
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Credential |
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Telephone | 606-256-7761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 100374
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License Number State | KY
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