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General NPI Number Information
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NPI Number | 1881551950
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Entity Type | Organization
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Legal Business Name | IRVIN INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1011 PARIS RD STE 337
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City | MAYFIELD
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State | KY
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Zip | 42066-3306
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Country | US
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Telephone | 270-883-2271
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 PARIS RD STE 337
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City | MAYFIELD
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State | KY
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Zip | 42066-3306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MYRA A IRVIN
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Credential |
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Telephone | 502-337-5835
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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 |
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License Number State |
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