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General NPI Number Information
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NPI Number | 1902501828
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTHCARE SYSTEM INC
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 913 N DIXIE AVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2503
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Country | US
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Telephone | 270-737-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 913 N DIXIE AVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2503
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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 | VP/CFO
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Name | RICHARD CARRICO
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Credential |
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Telephone | 502-896-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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