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General NPI Number Information
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NPI Number | 1285602011
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Entity Type | Individual
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Provider Name | FAIRLENA KAYE FUGATE D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 100 VETERANS DR
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City | HAZARD
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State | KY
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Zip | 41701-9483
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Country | US
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Telephone | 606-439-3399
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Fax | 606-487-9280
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Provider Business Mailing Address
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Address Line | 100 VETERANS DR
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City | HAZARD
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State | KY
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Zip | 41701-9483
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Country | US
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Telephone | 606-439-3399
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Fax | 606-487-9280
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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 | CH8163
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4580
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License Number State | KY
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