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General NPI Number Information
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NPI Number | 1750781142
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Entity Type | Organization
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Legal Business Name | APPALACHIAN HEALTH SERVICES INC
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 126 COLLINS CIR STE 3
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City | PRESTONSBURG
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State | KY
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Zip | 41653-7913
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Country | US
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Telephone | 606-889-1603
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Fax |
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Provider Business Mailing Address
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Address Line | 126 COLLINS CIR STE 3
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City | PRESTONSBURG
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State | KY
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Zip | 41653-7913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STACEY SHY
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Credential |
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Telephone | 304-429-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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