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General NPI Number Information
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NPI Number | 1689729832
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Entity Type | Organization
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Legal Business Name | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 511 MIDDLEBURG ST
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City | LIBERTY
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State | KY
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Zip | 42539
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Country | US
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Telephone | 606-787-5963
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | DANVILLE
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State | KY
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Zip | 40423-0990
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Country | US
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Telephone | 859-239-2468
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM M SNAPP III
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Credential |
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Telephone | 859-239-2424
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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 | 900072
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License Number State | KY
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