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General NPI Number Information
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NPI Number | 1831326115
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Entity Type | Organization
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Legal Business Name | NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC.
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 59 COWTOWN RD
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City | HINDMAN
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State | KY
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Zip | 41822-9120
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Country | US
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Telephone | 606-785-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 ALUMNI PARK PLZ STE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-4022
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Country | US
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Telephone | 859-257-7910
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Fax |
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | LARRY QUILLEN
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Credential |
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Telephone | 859-218-3599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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