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General NPI Number Information
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NPI Number | 1386425684
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Entity Type | Organization
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Legal Business Name | UNITED CLINICS OF KENTUCKY LLC
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 95 JACKSON HTS STE A
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City | JACKSON
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State | KY
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Zip | 41339-6500
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Country | US
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Telephone | 606-718-6505
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Fax | 606-272-6180
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | WINCHESTER
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State | KY
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Zip | 40392-0220
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Country | US
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Telephone | 606-668-3120
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Fax | 606-668-3125
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Authorized Official
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Title or Position | OWNER
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Name | NADEEM SHAIKH
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Credential | MD
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Telephone | 606-668-3120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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