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General NPI Number Information
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NPI Number | 1669677977
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Entity Type | Organization
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Legal Business Name | ASHLAND WOMEN'S CARE
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2001 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7743
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Country | US
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Telephone | 606-324-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7743
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Country | US
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Telephone | 606-324-1170
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Fax |
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | HEATHER KITCHEN
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Credential |
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Telephone | 606-324-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 31309
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License Number State | KY
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