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General NPI Number Information
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NPI Number | 1437068624
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Entity Type | Organization
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Legal Business Name | FAST PACE KENTUCKY PLLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 700 W EHRINGHAUS ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-6933
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Country | US
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Telephone | 252-580-2086
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Fax | 252-580-2087
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Provider Business Mailing Address
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Address Line | PO BOX 306599
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City | NASHVILLE
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State | TN
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Zip | 37230-6599
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Country | US
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Telephone | 931-253-1110
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Fax |
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Authorized Official
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Title or Position | SR. MANAGER
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Name | CHRISTY LITTLEJOHN
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Credential |
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Telephone | 931-253-1110
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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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