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General NPI Number Information
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NPI Number | 1972627164
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Entity Type | Organization
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Legal Business Name | JUDI'S PLACE FOR KIDS, INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 106 WILLIAMSON ST
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City | PIKEVILLE
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State | KY
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Zip | 41501-1722
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Country | US
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Telephone | 606-437-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 128 S. COLLEGE ST.
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City | PIKEVILLE
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State | KY
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Zip | 41501
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Country | US
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Telephone | 606-437-7447
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Fax | 606-432-0508
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. LAURA M. KRETZER
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Credential |
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Telephone | 606-437-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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