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General NPI Number Information
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NPI Number | 1306253190
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Entity Type | Organization
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Legal Business Name | GINGER WEBB APRN
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 153 WEDDINGTON BRANCH RD.
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City | PIKEVILLE
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State | KY
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Zip | 41501
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Country | US
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Telephone | 606-432-2225
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Fax | 606-432-0966
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Provider Business Mailing Address
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Address Line | 460 CAM BR
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City | HAROLD
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State | KY
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Zip | 41635-8705
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Country | US
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Telephone | 606-478-4464
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Fax | 606-478-4464
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Authorized Official
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Title or Position | OWNER
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Name | GINGER ROGERS WEBB
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Credential | APRN
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Telephone | 606-478-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 3008661
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License Number State | KY
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