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General NPI Number Information
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NPI Number | 1457468969
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Entity Type | Organization
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Legal Business Name | REGIONAL PHYSICIANS CORPORATION II
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 1934 BYPASS RD
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City | WINCHESTER
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State | KY
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Zip | 40391-2389
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Country | US
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Telephone | 859-745-1160
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Fax | 859-745-7789
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Provider Business Mailing Address
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Address Line | PO BOX 4140
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City | WINCHESTER
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State | KY
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Zip | 40392-4140
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Country | US
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Telephone | 859-745-6471
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Fax | 859-744-0257
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT DONALD FRARACCIO
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Credential |
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Telephone | 859-745-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | 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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 700085
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License Number State | KY
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