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General NPI Number Information
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NPI Number | 1851448237
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Entity Type | Organization
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Legal Business Name | FISCAL COURT MARSHALL COUNTY
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 505 GEORGE MCCLAIN DR
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City | BENTON
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State | KY
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Zip | 42025-1331
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Country | US
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Telephone | 270-527-1243
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Fax | 270-527-7313
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Provider Business Mailing Address
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Address Line | PO BOX 533
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City | BENTON
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State | KY
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Zip | 42025-0533
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Country | US
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Telephone | 270-527-1243
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Fax | 270-527-7313
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Authorized Official
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Title or Position | DIRECTOR
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Name | BRYAN S CUTSINGER
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Credential |
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Telephone | 270-527-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1300
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License Number State | KY
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