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General NPI Number Information
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NPI Number | 1700862026
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Entity Type | Organization
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Legal Business Name | APPALACHIAN REGIONAL HEALTHCARE INC
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 3600 CUMBERLAND AVE STE 100
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2614
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Country | US
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Telephone | 606-242-1166
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Fax | 606-242-1599
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Provider Business Mailing Address
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Address Line | PO BOX 602
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City | WEST LIBERTY
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State | KY
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Zip | 41472
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Country | US
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Telephone | 606-439-6988
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Fax | 606-439-6986
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. HOLLIE HARRIS
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Credential |
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Telephone | 859-226-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P06410
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License Number State | KY
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