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General NPI Number Information
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NPI Number | 1740077973
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Entity Type | Organization
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Legal Business Name | HARVEY AND NICHOLS SHEPHERDSVILLE PLLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 181 HIGHWAY 44 E STE 2
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-6081
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Country | US
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Telephone | 270-737-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 LAKEWOOD DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5458
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Country | US
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Telephone | 270-737-3368
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER G NICHOLS
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Credential | DMD
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Telephone | 270-737-3368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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