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General NPI Number Information
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NPI Number | 1952686115
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Entity Type | Organization
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Legal Business Name | APPALACHIAN HEALS, INC.
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 270 VERMILLION AVE.
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City | WHITESBURG
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State | KY
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Zip | 41858
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Country | US
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Telephone | 606-821-5839
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Fax |
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Provider Business Mailing Address
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Address Line | 270 VERMILLION AVE.
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City | WHITESBURG
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State | KY
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Zip | 41858
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Country | US
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Telephone | 606-821-5839
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHIRLYN MICHELLE PERKINS
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Credential |
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Telephone | 606-821-5839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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