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General NPI Number Information
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NPI Number | 1770125932
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Entity Type | Organization
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Legal Business Name | REGIONAL HEALTH CARE AFFILIATES INC
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 220 N MORGAN ST
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City | MORGANFIELD
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State | KY
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Zip | 42437-1412
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Country | US
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Telephone | 270-667-7017
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | PROVIDENCE
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State | KY
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Zip | 42450-0037
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Country | US
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Telephone | 270-667-7017
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHELLEY GOBIN
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Credential |
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Telephone | 270-667-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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