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General NPI Number Information
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NPI Number | 1437401957
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Entity Type | Organization
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Legal Business Name | MH HEALTH CARE SERVICES, PC
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 740 W NEW CIRCLE RD C/O LEXMARK HEALTH CENTER
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City | LEXINGTON
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State | KY
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Zip | 40511-1806
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Country | US
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Telephone | 859-232-4611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5
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City | WINOOSKI
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State | VT
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Zip | 05404-0005
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Country | US
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Telephone | 802-857-0400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NANCY CARLSON
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Credential | M.D.
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Telephone | 802-857-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 042-0008079
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License Number State | VT
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