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General NPI Number Information
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NPI Number | 1942584081
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Entity Type | Organization
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Legal Business Name | UNITED CLINICS OF KENTUCKY LLC
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 1060 GRAND AVENUE
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City | BEATTYVILLE
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State | KY
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Zip | 41311
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Country | US
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Telephone | 606-464-0108
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Fax | 606-464-0907
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Provider Business Mailing Address
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Address Line | PO BOX 910394
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City | LEXINGTON
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State | KY
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Zip | 40591-0394
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Country | US
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Telephone | 606-464-0108
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Fax | 606-464-0907
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Authorized Official
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Title or Position | PRESIDENT
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Name | NADEEM SHAIKH
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Credential | MD
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Telephone | 606-668-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 33660
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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 | KY
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