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General NPI Number Information
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NPI Number | 1427837319
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Entity Type | Individual
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Provider Name | TONY J METCALFE
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Gender | Male
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 308 W DIXIE AVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1702
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Country | US
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Telephone | 270-234-0003
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Fax | 270-360-0840
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Provider Business Mailing Address
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Address Line | 11464 KY HIGHWAY 259 N
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City | BEE SPRING
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State | KY
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Zip | 42207-9312
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Country | US
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Telephone | 270-370-7573
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Fax | 270-360-0840
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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