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General NPI Number Information
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NPI Number | 1518964345
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Entity Type | Organization
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Legal Business Name | UNITED HEALTHCARE OF HARDIN, INC.
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 3909 S WILSON RD
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City | RADCLIFF
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State | KY
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Zip | 40160-8944
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Country | US
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Telephone | 270-351-9444
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Fax | 270-351-0400
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Provider Business Mailing Address
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Address Line | 3909 S WILSON RD
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City | RADCLIFF
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State | KY
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Zip | 40160-8944
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Country | US
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Telephone | 270-351-9444
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Fax | 270-351-0400
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 100574
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License Number State | KY
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