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General NPI Number Information
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NPI Number | 1427486562
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Entity Type | Organization
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Legal Business Name | OWENSBORO HEALTH MEDICAL GROUP, INC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 421 7TH ST
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City | TELL CITY
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State | IN
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Zip | 47586-2202
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Country | US
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Telephone | 812-547-7448
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23229
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City | OWENSBORO
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State | KY
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Zip | 42304-3229
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Country | US
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Telephone | 270-688-1330
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. RUSSELL S RANALLO
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Credential |
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Telephone | 270-417-4813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | IN
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