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General NPI Number Information
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NPI Number | 1265774301
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Entity Type | Organization
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Legal Business Name | GRAYSON COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 124 E WHITE OAK ST
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1447
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Country | US
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Telephone | 270-259-3141
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Fax | 270-259-5388
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Provider Business Mailing Address
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Address Line | 124 E WHITE OAK ST
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1447
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Country | US
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Telephone | 270-259-3141
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Fax | 270-259-5388
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MISS GIGI MEREDITH
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Credential | R.N.
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Telephone | 270-259-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | KY
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