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General NPI Number Information
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NPI Number | 1780929216
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Entity Type | Organization
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Legal Business Name | HARAMBEE HEALTH CENTER, INC
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 800 SOUTH PRESTON ST.
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City | LOUISVILLE
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State | KY
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Zip | 40203
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Country | US
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Telephone | 502-568-4647
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Fax | 855-894-2071
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Provider Business Mailing Address
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Address Line | 3696 WEBB RD
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City | SIMPSONVILLE
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State | KY
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Zip | 40067-6435
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Country | US
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Telephone | 502-593-5939
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Fax | 502-722-0179
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PROF. KAY THOMPSON ROBERTS
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Credential | EDD,APRN
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Telephone | 502-593-5939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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