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General NPI Number Information
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NPI Number | 1770752123
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Entity Type | Organization
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Legal Business Name | ASHLAND CENTER FOR WOMEN'S HEALTH
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 617 23RD ST STE 415
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City | ASHLAND
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State | KY
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Zip | 41101-2880
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Country | US
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Telephone | 606-325-6888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1327
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City | ASHLAND
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State | KY
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Zip | 41105-1327
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Country | US
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Telephone | 606-325-6888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD FORD
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Credential | M.D.
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Telephone | 606-325-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 1830339
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License Number State | KY
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