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General NPI Number Information
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NPI Number | 1497339857
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Entity Type | Organization
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Legal Business Name | MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 300 S 8TH ST STE 107E
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City | MURRAY
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State | KY
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Zip | 42071-2442
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Country | US
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Telephone | 270-762-1512
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Fax | 270-767-3605
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Provider Business Mailing Address
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Address Line | 300 S 8TH ST STE 107E
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City | MURRAY
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State | KY
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Zip | 42071-2442
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Country | US
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Telephone | 270-762-1512
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Fax | 270-762-1568
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Authorized Official
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Title or Position | CFO/AO
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Name | JOHN BRADFORD
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Credential |
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Telephone | 270-762-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family 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 | 208800000X
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Taxonomy Name | Urology Physician
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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