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General NPI Number Information
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NPI Number | 1972423663
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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 | 07/21/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1201 PLEASANT VALLEY RD STE 7D-205
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City | OWENSBORO
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State | KY
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Zip | 42303-9811
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Country | US
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Telephone | 270-417-4700
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Fax | 270-417-4709
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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 |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | RUSS 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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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