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General NPI Number Information
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NPI Number | 1801144852
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Entity Type | Organization
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Legal Business Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC.,
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 2201 LEXINGTON AVE
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City | ASHLAND
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State | KY
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Zip | 41101-2843
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Country | US
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Telephone | 606-408-4000
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Fax | 606-408-5176
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Provider Business Mailing Address
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Address Line | PO BOX 2379
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City | ASHLAND
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State | KY
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Zip | 41105-2379
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Country | US
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Telephone | 606-408-4000
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | SARA MARKS
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Credential |
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Telephone | 606-408-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | KY
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