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General NPI Number Information
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NPI Number | 1851026181
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Entity Type | Organization
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Legal Business Name | SELECT HEALTH LLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 979 LOVERS LN STE 3
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City | BOWLING GREEN
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State | KY
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Zip | 42103-7148
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Country | US
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Telephone | 270-904-9120
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Fax | 270-904-9121
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Provider Business Mailing Address
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Address Line | 979 LOVERS LN STE 3
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City | BOWLING GREEN
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State | KY
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Zip | 42103-7148
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Country | US
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Telephone | 270-904-9120
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Fax | 270-904-9121
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Authorized Official
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Title or Position | OWNER
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Name | LENA GOKEY
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Credential | APRN
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Telephone | 270-535-8879
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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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