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General NPI Number Information
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NPI Number | 1376161588
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Entity Type | Organization
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Legal Business Name | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 3504 WEST CUMBERLAND AVE
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2612
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Country | US
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Telephone | 606-248-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 CUMBERLAND AVE
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2612
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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 | PRESIDENT AND CEO
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Name | MS. HOLLIE HARRIS
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Credential |
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Telephone | 859-226-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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