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General NPI Number Information
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NPI Number | 1659307585
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Entity Type | Organization
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Legal Business Name | OUR LADY OF BELLEFONTE HOSPITAL
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2420 ARGILLITE ROAD SUITE B
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City | FLATWOODS
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State | KY
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Zip | 41139
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Country | US
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Telephone | 606-836-3900
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Fax | 606-836-0205
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Provider Business Mailing Address
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Address Line | 2420 ARGILLITE ROAD SUITE B
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City | FLATWOODS
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State | KY
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Zip | 41139
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Country | US
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Telephone | 606-836-3900
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Fax | 606-836-0205
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Authorized Official
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Title or Position | PHYSICAN
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Name | DR. AUGUSTINUS J LOBACH
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Credential | MD
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Telephone | 606-836-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28383
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License Number State | KY
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