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General NPI Number Information
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NPI Number | 1457370678
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Entity Type | Organization
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Legal Business Name | BAPTIST COMMUNITY HEALTH SERVICES, INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 5158 VILLAGE SQUARE DR
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City | PADUCAH
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State | KY
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Zip | 42001-9060
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Country | US
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Telephone | 270-443-4311
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Fax | 270-443-4145
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Provider Business Mailing Address
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Address Line | 5158 VILLAGE SQUARE DR
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City | PADUCAH
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State | KY
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Zip | 42001-9060
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Country | US
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Telephone | 270-443-4311
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Fax | 270-443-4145
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Authorized Official
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Title or Position | CEO
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Name | MR. LARRY BARTON
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Credential |
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Telephone | 270-575-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 700071
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License Number State | KY
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