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General NPI Number Information
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NPI Number | 1942853734
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CARE ASSOCIATES 4
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Dates
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Enumeration Date | 07/20/2019
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 110 PROFESSIONAL LN STE 202
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City | HARLAN
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State | KY
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Zip | 40831-2590
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Country | US
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Telephone | 606-621-0363
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Fax | 606-645-1776
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Provider Business Mailing Address
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Address Line | PO BOX 1535
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City | BARBOURVILLE
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State | KY
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Zip | 40906-5535
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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 | OWNER
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Name | GINA GOOD
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Credential | APRN
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Telephone | 606-546-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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