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General NPI Number Information
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NPI Number | 1265282008
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Entity Type | Organization
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Legal Business Name | EPHRAIM MCDOWELL HEALTH RESOURCE, INC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 124 DOWELL RD
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-4278
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Country | US
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Telephone | 859-239-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 216 W WALNUT ST STE A
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City | DANVILLE
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State | KY
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Zip | 40422-1858
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Country | US
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Telephone | 859-236-5870
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. AMANDA KINMAN
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Credential |
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Telephone | 859-239-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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