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General NPI Number Information
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NPI Number | 1730668419
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Entity Type | Organization
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Legal Business Name | THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1541 LEBANON RD STE 1
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City | DANVILLE
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State | KY
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Zip | 40422-8349
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Country | US
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Telephone | 859-236-3208
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Fax | 859-239-7991
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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 | 859-239-2360
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Fax | 859-239-6785
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Authorized Official
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Title or Position | CFO
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Name | MRS. AMANDA KINMAN
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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