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General NPI Number Information
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NPI Number | 1457440364
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Entity Type | Organization
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Legal Business Name | PIKE COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 541 GRIFFIN STREET
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City | ZEBULON
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State | GA
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Zip | 30295
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Country | US
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Telephone | 770-567-8972
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Fax | 770-567-3531
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Provider Business Mailing Address
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Address Line | PO BOX 342 541 GRIFFIN STREET
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City | ZEBULON
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State | GA
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Zip | 30295-0342
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Country | US
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Telephone | 770-567-8972
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Fax | 770-567-3531
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | KYLIE MYHAND
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Credential |
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Telephone | 706-298-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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