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General NPI Number Information
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NPI Number | 1356313498
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Entity Type | Organization
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Legal Business Name | GREEN RIVER DISTRICT HEALTH DEPT
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 472 KLUTEY PARK PLAZA HENDERSON COUNTY HEALTH CENTER
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City | HENDERSON
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State | KY
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Zip | 42420
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Country | US
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Telephone | 270-826-3951
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Fax | 270-826-5527
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Provider Business Mailing Address
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Address Line | PO BOX 309 GREEN RIVER DISTRICT HEALTH DEPARTMENT
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City | OWENSBORO
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State | KY
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Zip | 42302-0309
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Country | US
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Telephone | 270-686-7747
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Fax | 270-926-9862
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Authorized Official
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Title or Position | ADMINISTRATIVE SERVICES MANAGER
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Name | ANGEL THOMPSON
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Credential |
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Telephone | 270-686-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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