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General NPI Number Information
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NPI Number | 1538810809
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HEALTH CENTER
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 1321 CUMBERLAND FALLS HWY STE 103
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City | CORBIN
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State | KY
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Zip | 40701-2861
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Country | US
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Telephone | 606-215-3144
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Fax | 606-467-2210
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Provider Business Mailing Address
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Address Line | 1321 CUMBERLAND FALLS HWY STE 103
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City | CORBIN
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State | KY
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Zip | 40701-2861
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Country | US
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Telephone | 606-215-3144
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Fax | 606-467-2210
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA BROUGHTON
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Credential | APRN
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Telephone | 606-545-3863
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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