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General NPI Number Information
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NPI Number | 1841916913
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Entity Type | Organization
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Legal Business Name | WEST END ADHC LLC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 3847 CANE RUN RD
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City | LOUISVILLE
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State | KY
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Zip | 40211-2011
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Country | US
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Telephone | 502-510-6406
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Fax | 502-305-6509
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Provider Business Mailing Address
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Address Line | 3847 CANE RUN RD
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City | LOUISVILLE
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State | KY
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Zip | 40211-2011
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Country | US
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Telephone | 502-510-6406
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Fax | 502-305-6509
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY STANTON
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Credential | RN, BSN BA
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Telephone | 502-510-6406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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