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General NPI Number Information
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NPI Number | 1770648107
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Entity Type | Organization
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Legal Business Name | ARH TUG VALLEY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 313 WEST ST
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City | PAINTSVILLE
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State | KY
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Zip | 41240-1054
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Country | US
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Telephone | 606-789-3640
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Fax | 606-789-7549
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Provider Business Mailing Address
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Address Line | 713 BROADWAY, SUITE 101
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City | PAINTSVILLE
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State | KY
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Zip | 41240
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Country | US
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Telephone | 606-789-3640
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Fax | 606-789-7549
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MS. 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 | 3336C0002X
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Taxonomy Name | Clinic 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 | P02360
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License Number State | KY
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