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General NPI Number Information
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NPI Number | 1891169926
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Entity Type | Organization
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Legal Business Name | NEWBORN & KIDS HEALTH CENTER, INC.
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 215 TREUHAFT BLVD STE. 8
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City | BARBOURVILLE
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State | KY
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Zip | 40906-7361
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Country | US
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Telephone | 606-248-7778
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Fax | 606-248-7787
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Provider Business Mailing Address
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Address Line | 215 TREUHAFT BLVD STE 8
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City | BARBOURVILLE
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State | KY
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Zip | 40906-7361
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Country | US
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Telephone | 606-277-0173
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Fax | 606-277-0045
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMAD HAKAM ALNAHHAS
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Credential | M.D.
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Telephone | 606-277-0173
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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 | KY
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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