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NPI 1588894703

NPI 1588894703 : MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION : MURRAY, KY

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General NPI Number Information
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    NPI Number           |    1588894703
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    Entity Type          |    Organization 
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    Legal Business Name  |    MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION 
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Dates
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    Enumeration Date     |    07/22/2009
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    Last Update Date     |    01/10/2024
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Provider Practice Location Address
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    Address Line         |    719 ELM ST 
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    City                 |    MURRAY
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    State                |    KY
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    Zip                  |    42071
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    Country              |    US
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    Telephone            |    270-761-0043
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    Fax                  |    270-761-0045
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Provider Business Mailing Address
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    Address Line         |    300 S 8TH ST STE 480W
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    City                 |    MURRAY
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    State                |    KY
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    Zip                  |    42071-2400
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    Country              |    US
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    Telephone            |    270-753-0704
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    Fax                  |    270-762-3626
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     JOHN  BRADFORD 
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    Credential           |    
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    Telephone            |    270-762-1104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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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        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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 #4
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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 #5
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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