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General NPI Number Information
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NPI Number | 1942708706
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Entity Type | Organization
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Legal Business Name | TRINITY FAMILY HEALTH, PLLC
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 205 S KENTUCKY AVE
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City | CORBIN
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State | KY
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Zip | 40701-1533
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Country | US
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Telephone | 785-577-3727
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255
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City | CORBIN
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State | KY
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Zip | 40702-0255
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Country | US
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Telephone | 785-577-3727
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Fax | 606-528-8907
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Authorized Official
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Title or Position | OWNER
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Name | MRS. REBECCA ANN DAY
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Credential | APRN
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Telephone | 785-577-3727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | KY
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