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General NPI Number Information
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NPI Number | 1306470125
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Entity Type | Organization
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Legal Business Name | GET SET GO HEALTH & WELLNESS COMPANY, LLC
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 18 N MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-1963
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Country | US
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Telephone | 270-875-4332
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Fax |
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Provider Business Mailing Address
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Address Line | 329 HAYDEN HEADY CIR
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City | BOWLING GREEN
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State | KY
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Zip | 42104-7425
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC C LOGAN
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Credential |
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Telephone | 270-875-4332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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