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General NPI Number Information
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NPI Number | 1568621878
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Entity Type | Organization
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Legal Business Name | OHIO VALLEY ENDOCRINOLOGY INC
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 991 MEDICAL PARK DR STE 207
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City | MAYSVILLE
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State | KY
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Zip | 41056-8764
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Country | US
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Telephone | 606-759-0556
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Fax | 606-759-0662
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Provider Business Mailing Address
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Address Line | 991 MEDICAL PARK DR STE 207
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City | MAYSVILLE
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State | KY
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Zip | 41056-8764
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Country | US
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Telephone | 606-759-0556
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Fax | 606-759-0662
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Authorized Official
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Title or Position | OWNER
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Name | YANCEY R HOLMES
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Credential | MD
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Telephone | 606-375-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | 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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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