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General NPI Number Information
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NPI Number | 1558356444
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Entity Type | Organization
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Legal Business Name | LAFFERTY ENTERPRISES, INC.
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 587 N LAKE DR
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City | PRESTONSBURG
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State | KY
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Zip | 41653-1278
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Country | US
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Telephone | 606-886-7030
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Fax | 606-886-9322
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Provider Business Mailing Address
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Address Line | PO BOX 1263
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City | PRESTONSBURG
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State | KY
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Zip | 41653-5263
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Country | US
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Telephone | 606-886-7030
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Fax | 606-886-9322
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CRISTAL DAWN BILLITER
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Credential |
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Telephone | 606-886-7030
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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 | 1376
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1612
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1429
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1611
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3010
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1188
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License Number State | KY
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