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General NPI Number Information
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NPI Number | 1568680908
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Entity Type | Organization
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Legal Business Name | BLUE GRASS COMMUNITY ACTION PARTNERSHIP, INC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 PROFESSIONAL CT
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City | FRANKFORT
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State | KY
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Zip | 40601-8189
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Country | US
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Telephone | 502-695-4290
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Fax | 502-848-8808
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Provider Business Mailing Address
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Address Line | PO BOX 738
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City | FRANKFORT
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State | KY
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Zip | 40602-0738
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Country | US
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Telephone | 502-695-4290
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Fax | 205-848-8808
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEVE STIVERS
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Credential |
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Telephone | 502-692-4290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | KY
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