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NPI 1568794436

NPI 1568794436 : GREENUP COUNTY HEALTH DEPARTMENT : RACELAND, KY

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General NPI Number Information
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    NPI Number           |    1568794436
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREENUP COUNTY HEALTH DEPARTMENT 
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Dates
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    Enumeration Date     |    02/03/2010
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    Last Update Date     |    02/03/2010
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Provider Practice Location Address
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    Address Line         |    500 RAMS BLVD 
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    City                 |    RACELAND
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    State                |    KY
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    Zip                  |    41169-1179
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    Country              |    US
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    Telephone            |    606-836-8221
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 377 
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    City                 |    GREENUP
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    State                |    KY
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    Zip                  |    41144-0377
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    Country              |    US
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    Telephone            |    606-473-9838
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    Fax                  |    606-473-6405
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Authorized Official
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    Title or Position    |    PUBLIC HEALTH DIRECTOR
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    Name                 |    MR. CHRISTOPHER GALE CRUM 
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    Credential           |    
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    Telephone            |    606-473-9838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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