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General NPI Number Information
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NPI Number | 1902000631
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Entity Type | Organization
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Legal Business Name | GREENUP CO HEALTH DEPT
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 806 SEATON AVE SUITE 1
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City | GREENUP
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State | KY
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Zip | 41144-1196
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Country | US
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Telephone | 606-473-9838
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Fax | 606-473-6405
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Provider Business Mailing Address
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Address Line | PO BOX 377
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City | GREENUP
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State | KY
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Zip | 41144-0377
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Country | US
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Telephone | 606-473-9838
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Fax | 606-473-6405
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CHRISTOPHER GALE CRUM
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Credential |
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Telephone | 606-473-9838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | ST37217
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License Number State | KY
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