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General NPI Number Information
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NPI Number | 1538139159
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Entity Type | Organization
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Legal Business Name | CARLISLE COUNTY FISCAL COURT
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 65 JOHN ROBERTS DR STE A
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City | BARDWELL
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State | KY
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Zip | 42023-8002
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Country | US
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Telephone | 270-628-0248
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Fax | 270-628-9144
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Provider Business Mailing Address
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Address Line | PO BOX 9150
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City | PADUCAH
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State | KY
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Zip | 42002-9150
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Country | US
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Telephone | 270-744-9600
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Fax | 270-744-8642
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSHUA RAY GLOVER
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Credential |
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Telephone | 270-855-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1005
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License Number State | KY
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