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General NPI Number Information
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NPI Number | 1871655985
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Entity Type | Organization
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Legal Business Name | FLAGET HEALTHCARE INC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 110 S SALEM DR
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City | BARDSTOWN
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State | KY
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Zip | 40004-1761
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Country | US
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Telephone | 502-348-3400
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Fax | 502-350-5022
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Provider Business Mailing Address
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Address Line | PO BOX 1160
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City | BARDSTOWN
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State | KY
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Zip | 40004-4160
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Country | US
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Telephone | 502-348-3400
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Fax | 502-350-5022
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JOHN C BRADFORD
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Credential |
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Telephone | 502-350-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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