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General NPI Number Information
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NPI Number | 1871393538
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Entity Type | Organization
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Legal Business Name | ADVANCED TECHNOLOGY OF KENTUCKY INC.
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3550 TEAYS VALLEY RD STE 6
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City | HURRICANE
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State | WV
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Zip | 25526-9159
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Country | US
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Telephone | 855-460-0956
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Fax | 859-578-4828
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Provider Business Mailing Address
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Address Line | 7570 US HIGHWAY 42
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City | FLORENCE
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State | KY
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Zip | 41042-2324
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Country | US
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Telephone | 859-578-4822
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Fax | 859-578-4828
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SCOTT BLACKWELDER
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Credential |
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Telephone | 513-383-2490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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