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General NPI Number Information
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NPI Number | 1891899274
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Entity Type | Organization
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Legal Business Name | AHC IRELAND-KNOX
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 289 IRELAND AVE
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City | FORT KNOX
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State | KY
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Zip | 40121-5111
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Country | US
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Telephone | 502-624-9870
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Fax |
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Provider Business Mailing Address
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Address Line | 289 IRELAND AVE ATTN: TREASURERS OFFICE
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City | FORT KNOX
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State | KY
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Zip | 40121-5111
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Country | US
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Telephone | 502-624-9870
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Fax |
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Authorized Official
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Title or Position | CHIEF, UBO
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Name | CINDY PRICE
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Credential |
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Telephone | 502-624-2630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1100X
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Taxonomy Name | Military/U.S. Coast Guard Outpatient Clinic/Center
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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 | 261QM1101X
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Taxonomy Name | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
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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 | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number |
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License Number State |
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