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General NPI Number Information
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NPI Number | 1316999345
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Entity Type | Organization
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Legal Business Name | PENNYRILE FAMILY PHYSICIANS
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 1724 KENTON ST SUITE 2 A
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1981
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Country | US
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Telephone | 270-885-2091
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Fax | 270-885-2094
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Provider Business Mailing Address
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Address Line | 1724 KENTON ST SUITE 2 A
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1981
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Country | US
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Telephone | 270-885-2091
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Fax | 270-885-2094
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MRS. JUDY ANN FRANCIS
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Credential |
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Telephone | 207-885-2091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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