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General NPI Number Information
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NPI Number | 1982493763
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Entity Type | Organization
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Legal Business Name | EK CLINIC, LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 300 VIKING DR
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City | MOREHEAD
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State | KY
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Zip | 40351-2016
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Country | US
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Telephone | 606-477-8421
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Fax |
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Provider Business Mailing Address
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Address Line | 300 VIKING DR
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City | MOREHEAD
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State | KY
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Zip | 40351-2016
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Country | US
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Telephone | 606-784-9111
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Fax |
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Authorized Official
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Title or Position | OUTSIDE COUNSEL
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Name | CHRISTOPHER HALL
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Credential |
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Telephone | 606-356-8382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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