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General NPI Number Information
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NPI Number | 1982113148
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Entity Type | Organization
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Legal Business Name | A1 HEALTH CARE CLINIC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 703 EAST MAIN STREET, # 8
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City | LEBANON
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State | KY
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Zip | 40444
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Country | US
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Telephone | 270-321-4616
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Fax | 270-321-4619
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Provider Business Mailing Address
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Address Line | 703 E MAIN ST UNIT 8
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City | LEBANON
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State | KY
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Zip | 40033-8696
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Country | US
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Telephone | 270-321-4616
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Fax | 270-321-4619
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | TARIQ A ARAIN
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Credential | MD
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Telephone | 859-550-3720
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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 |
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Taxonomy #2
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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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