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General NPI Number Information
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NPI Number | 1275424525
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Entity Type | Organization
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Legal Business Name | HIS HANDS FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1374 KY-192 EAST SUITE 300
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City | LONDON
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State | KY
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Zip | 40741
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Country | US
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Telephone | 606-231-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 390 CARIBOU DR
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City | LONDON
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State | KY
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Zip | 40744-8612
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Country | US
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Telephone | 606-231-6858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSEMARY EBERTSHAUSER
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Credential | APRN
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Telephone | 606-231-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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