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General NPI Number Information
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NPI Number | 1780641035
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Entity Type | Organization
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Legal Business Name | CLAY COUNTY FISCAL COURT
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 115 COURT ST
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City | MANCHESTER
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State | KY
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Zip | 40962
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Country | US
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Telephone | 606-598-8413
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Fax | 606-598-1875
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Provider Business Mailing Address
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Address Line | 102 RICHMOND RD
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City | MANCHESTER
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State | KY
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Zip | 40962
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Country | US
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Telephone | 606-598-8413
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Fax | 606-598-1875
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. RODNEY H. WAGERS
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Credential |
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Telephone | 606-598-8413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1359
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License Number State | KY
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