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General NPI Number Information
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NPI Number | 1528095742
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Entity Type | Organization
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Legal Business Name | PURCHASE DISTRICT HEALTH DEPT
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 100 EAST LOCHRIDGE STREET
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City | MAYFIELD
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State | KY
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Zip | 42066
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Country | US
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Telephone | 270-247-3553
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Fax | 270-247-0391
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Provider Business Mailing Address
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Address Line | PO BOX 2357
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City | PADUCAH
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State | KY
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Zip | 42002
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Country | US
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Telephone | 270-444-9625
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Fax | 270-575-5458
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Authorized Official
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Title or Position | FINANCE ADMINISTRATOR
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Name | MS. STEPHANIE JO HAYS
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Credential |
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Telephone | 270-444-9625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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