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General NPI Number Information
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NPI Number | 1922814136
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Entity Type | Organization
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Legal Business Name | OWENSBORO HEALTH MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 910 WALLACE AVE
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City | LEITCHFIELD
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State | KY
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Zip | 42754-2414
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Country | US
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Telephone | 270-259-9491
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Fax | 270-200-4499
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Provider Business Mailing Address
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Address Line | PO BOX 23229
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City | OWENSBORO
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State | KY
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Zip | 42304-3229
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Country | US
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Telephone | 270-688-1330
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Fax | 270-688-1338
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Authorized Official
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Title or Position | SECRETARY-CFO
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Name | RUSS S. RANALLO
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Credential |
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Telephone | 270-685-7180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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