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General NPI Number Information
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NPI Number | 1295809291
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Entity Type | Organization
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Legal Business Name | BREATHITT COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 955 HIGHWAY 30 WEST
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City | JACKSON
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State | KY
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Zip | 41339-0730
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Country | US
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Telephone | 606-666-8052
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Fax | 606-666-4601
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Provider Business Mailing Address
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Address Line | PO BOX 730
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City | JACKSON
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State | KY
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Zip | 41339-0730
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Country | US
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Telephone | 606-666-8052
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Fax | 606-666-4601
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIZABETH MILLER
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Credential |
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Telephone | 606-666-7755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 150004
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150004
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License Number State | KY
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