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General NPI Number Information
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NPI Number | 1528641982
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Entity Type | Organization
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Legal Business Name | PIKEVILLE MEDICAL CENTER INC.
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 723 S LAKE DR
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City | PRESTONSBURG
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State | KY
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Zip | 41653-1340
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Country | US
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Telephone | 606-886-8175
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Fax | 606-886-8176
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Provider Business Mailing Address
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Address Line | 911 BYPASS RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-1689
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Country | US
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Telephone | 606-218-3500
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Fax | 606-437-9479
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Authorized Official
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Title or Position | CFO
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Name | MICHELLE HAGY
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Credential |
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Telephone | 606-218-3974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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