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General NPI Number Information
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NPI Number | 1841616273
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Entity Type | Individual
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Provider Name | TERRY J KING PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 5900 US ROUTE 60 SUITE 2
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City | ASHLAND
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State | KY
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Zip | 41102-9508
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Country | US
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Telephone | 606-393-5586
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Fax | 606-928-5547
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Provider Business Mailing Address
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Address Line | 5900 US 60 WEST SUITE B
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City | ASHLAND
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State | KY
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Zip | 41102
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Country | US
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Telephone | 606-393-5586
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Fax | 606-928-5547
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | KY-1294
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License Number State | KY
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