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General NPI Number Information
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NPI Number | 1871575498
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Entity Type | Organization
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Legal Business Name | PIKEVILLE MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 60 MAIN ST
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City | WHITESBURG
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State | KY
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Zip | 41858-7318
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Country | US
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Telephone | 606-218-3500
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Fax | 606-218-4560
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Provider Business Mailing Address
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Address Line | 60 MAIN ST
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City | WHITESBURG
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State | KY
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Zip | 41858-7318
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Country | US
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Telephone | 606-218-3500
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Fax | 606-218-4560
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Authorized Official
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Title or Position | CFO
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Name | MRS. MICHELLE HAGY
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Credential |
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Telephone | 606-218-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 730093
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License Number State | KY
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