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General NPI Number Information
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NPI Number | 1467344135
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Entity Type | Organization
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Legal Business Name | REFUGE FOR WOMEN - KENTUCKY LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 9312 NEW LA GRANGE RD
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City | LOUISVILLE
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State | KY
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Zip | 40242-3619
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Country | US
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Telephone | 502-208-7050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | WILMORE
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State | KY
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Zip | 40390-0099
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Country | US
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Telephone | 502-208-7050
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Fax |
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Authorized Official
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Title or Position | OFFIER
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Name | MARCIE WATERS
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Credential |
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Telephone | 502-208-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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