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General NPI Number Information
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NPI Number | 1811153877
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Entity Type | Organization
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Legal Business Name | KARL MCCLANAHAN, PSC
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 130 HOSPITAL DR
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City | WINCHESTER
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State | KY
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Zip | 40391-9591
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Country | US
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Telephone | 859-737-5599
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Fax | 859-737-0650
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Provider Business Mailing Address
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Address Line | 130 HOSPITAL DR
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City | WINCHESTER
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State | KY
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Zip | 40391-9591
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Country | US
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Telephone | 859-737-5599
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Fax | 859-737-0650
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. KARL MCCLANAHAN
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Credential | O.D.
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Telephone | 859-737-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1241DT
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License Number State | KY
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