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General NPI Number Information
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NPI Number | 1457551350
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Entity Type | Organization
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Legal Business Name | FLAGET HEALTHCARE, INC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 4305 NEW SHEPHERDSVILLE RD
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City | BARDSTOWN
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State | KY
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Zip | 40004-9019
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Country | US
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Telephone | 502-350-5000
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Fax | 502-350-5022
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Provider Business Mailing Address
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Address Line | 4305 NEW SHEPHERDSVILLE RD
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City | BARDSTOWN
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State | KY
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Zip | 40004-9019
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Country | US
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Telephone | 502-350-5000
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Fax | 502-350-5022
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JOHN BRADFORD
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Credential |
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Telephone | 502-350-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100747
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License Number State | KY
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