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General NPI Number Information
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NPI Number | 1326596636
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Entity Type | Organization
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Legal Business Name | THE MEDICAL CENTER AT CLINTON COUNTY, INC.
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 254 BURKESVILLE RD
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City | ALBANY
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State | KY
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Zip | 42602-1604
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Country | US
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Telephone | 606-387-2066
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Fax | 606-387-2067
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Provider Business Mailing Address
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Address Line | PO BOX 8000
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City | BOWLING GREEN
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State | KY
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Zip | 42102-8000
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Country | US
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Telephone | 270-745-1100
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Fax | 270-745-1156
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Authorized Official
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Title or Position | EXEC. VICE PRESIDENT
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Name | RONALD G SOWELL
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Credential |
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Telephone | 270-745-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 730169
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License Number State | KY
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