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General NPI Number Information
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NPI Number | 1871628131
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Entity Type | Organization
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Legal Business Name | LAYNE MEDICAL, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 70 MILLARD ALLEN DRIVE
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City | LACKEY
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State | KY
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Zip | 41643-0189
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Country | US
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Telephone | 606-358-2230
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24483
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City | LEXINGTON
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State | KY
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Zip | 40524-4483
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Country | US
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Telephone | 606-358-2230
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DONNA L HUGHES
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Credential | MBA
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Telephone | 606-358-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 142576
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License Number State | KY
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