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General NPI Number Information
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NPI Number | 1457431314
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Entity Type | Organization
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Legal Business Name | MCCREARY COUNTY JUDGE
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 1 NORTH MAIN STREET
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City | WHITLEY CITY
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State | KY
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Zip | 42653
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Country | US
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Telephone | 606-376-5063
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Fax | 606-376-8772
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Provider Business Mailing Address
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Address Line | 1 NORTH MAIN STREET
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City | WHITLEY CITY
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State | KY
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Zip | 42653
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Country | US
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Telephone | 606-376-5063
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Fax | 606-376-8772
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Authorized Official
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Title or Position | DIRECTOR
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Name | JIMMY D. BARNETT
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Credential |
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Telephone | 606-376-5063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1312
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1312
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License Number State | KY
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