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General NPI Number Information
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NPI Number | 1831137058
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Entity Type | Organization
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Legal Business Name | ASHLAND EMERGENCY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 2201 LEXINGTON AVE EMERGENCY DEPARTMENT
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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 | 606-922-2291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 989
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City | ASHLAND
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State | KY
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Zip | 41105-0989
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Country | US
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Telephone | 606-922-2291
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Fax | 260-407-8007
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Authorized Official
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Title or Position | GROUP PRESIDENT
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Name | BRETT E. JARRELL
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Credential | M.D.
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Telephone | 606-922-2291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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