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General NPI Number Information
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NPI Number | 1356677033
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Entity Type | Organization
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Legal Business Name | ALLYSON BLYTHE, LLC
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 7430 US HIGHWAY 42 STE 217
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City | FLORENCE
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State | KY
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Zip | 41042-1992
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Country | US
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Telephone | 859-341-7773
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Fax | 859-341-0376
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Provider Business Mailing Address
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Address Line | 7430 US HIGHWAY 42 STE 217
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City | FLORENCE
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State | KY
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Zip | 41042-1992
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Country | US
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Telephone | 859-341-7773
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Fax | 859-341-0376
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALLYSON R BLYTHE
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Credential | LCSW
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Telephone | 859-341-7773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1304
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License Number State | KY
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Taxonomy #2
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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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