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General NPI Number Information
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NPI Number | 1871641043
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Entity Type | Organization
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Legal Business Name | WEBB MEDICAL GROUP PSC
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 93 PICKETT LN
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City | PRESTONSBURG
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State | KY
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Zip | 41653-8569
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Country | US
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Telephone | 606-874-0009
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Fax | 606-874-0011
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Provider Business Mailing Address
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Address Line | PO BOX 818
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City | PRESTONSBURG
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State | KY
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Zip | 41653-0818
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Country | US
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Telephone | 606-874-0009
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Fax | 606-874-0009
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Authorized Official
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Title or Position | OWNER
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Name | SONJA WEBB
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Credential | MD
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Telephone | 606-874-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34099
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34099
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2285P
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA781
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3251P
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37114
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License Number State | KY
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