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General NPI Number Information
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NPI Number | 1790060820
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Entity Type | Organization
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Legal Business Name | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 17644 SOUTH HIGHWAY 421
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City | BIG CREEK
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State | KY
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Zip | 40914
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Country | US
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Telephone | 606-598-6196
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Fax | 606-598-1340
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Provider Business Mailing Address
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Address Line | 17644 SOUTH HIGHWAY 421
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City | BIG CREEK
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State | KY
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Zip | 40914
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Country | US
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Telephone | 606-598-6196
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Fax | 606-598-1340
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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