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General NPI Number Information
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NPI Number | 1881659951
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL CENTER OF HART CO
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 117 W SOUTH ST
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City | MUNFORDVILLE
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State | KY
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Zip | 42765
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Country | US
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Telephone | 270-524-7231
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Fax | 270-524-7415
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | MUNFORDVILLE
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State | KY
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Zip | 42765
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Country | US
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Telephone | 270-524-7231
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Fax | 270-524-7415
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES W MIDDLETON JR.
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Credential | MD
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Telephone | 270-524-7231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 900144
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License Number State | KY
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