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General NPI Number Information
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NPI Number | 1982284667
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Entity Type | Individual
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Provider Name | KRISTINA COY
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Gender | Female
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 127 RIVERSIDE DR
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City | CYNTHIANA
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State | KY
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Zip | 41031-3801
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Country | US
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Telephone | 859-234-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 223 ELKHORN GREEN PL
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City | GEORGETOWN
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State | KY
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Zip | 40324-8420
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A03512
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License Number State | KY
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