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General NPI Number Information
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NPI Number | 1609871581
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Entity Type | Organization
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Legal Business Name | TURNER WHITLEY & MORTON INTERNAL MEDICINE PSC
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 1419 CUMBERLAND FALLS HWY
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City | CORBIN
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State | KY
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Zip | 40701-2722
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Country | US
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Telephone | 606-528-4481
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Fax | 606-528-2857
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Provider Business Mailing Address
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Address Line | 1419 CUMBERLAND FALLS HWY
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City | CORBIN
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State | KY
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Zip | 40701-2722
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Country | US
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Telephone | 606-528-4481
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Fax | 606-528-2857
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KATHY SHEPHERD
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Credential |
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Telephone | 606-528-4481
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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 | KY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20474,23298,32248
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License Number State | KY
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