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General NPI Number Information
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NPI Number | 1275323057
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Entity Type | Individual
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Provider Name | COURTNEY PAIGE BLEVINS DC
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 108 PASADENA DR STE 110
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City | LEXINGTON
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State | KY
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Zip | 40503-2966
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Country | US
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Telephone | 859-303-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 538
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City | ELKHORN CITY
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State | KY
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Zip | 41522-0538
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Country | US
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Telephone | 864-909-6557
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 280931
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License Number State | KY
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