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General NPI Number Information
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NPI Number | 1881259836
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Entity Type | Organization
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Legal Business Name | RONALD MCDONALD HOUSE CHARITIES OF THE BLUEGRASS, INC.
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 1300 SPORTS CENTER DR
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City | LEXINGTON
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State | KY
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Zip | 40502-2300
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Country | US
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Telephone | 859-268-0747
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Fax | 859-266-6771
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Provider Business Mailing Address
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Address Line | PO BOX 22414
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City | LEXINGTON
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State | KY
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Zip | 40522-2414
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Country | US
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Telephone | 859-268-0747
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Fax | 859-266-6771
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. NATE GRAHAM
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Credential |
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Telephone | 859-266-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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