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General NPI Number Information
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NPI Number | 1629298260
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Entity Type | Organization
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Legal Business Name | LAUREL COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 525 WHITLEY ST.
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City | LONDON
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State | KY
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Zip | 40741
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Country | US
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Telephone | 606-878-7754
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Fax | 606-864-8295
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Provider Business Mailing Address
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Address Line | 525 WHITLEY ST.
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City | LONDON
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State | KY
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Zip | 40741
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Country | US
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Telephone | 606-878-7754
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Fax | 606-864-8295
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARK A. HENSLEY
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Credential |
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Telephone | 606-878-7754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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