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General NPI Number Information
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NPI Number | 1982762514
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Entity Type | Organization
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Legal Business Name | CUMBERLAND VALLEY DISTRICT HEALTH DEPARTMENT
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 470 MANCHESTER SQUARE SHPG CTR SUITE 200
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City | MANCHESTER
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State | KY
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Zip | 40962-8781
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Country | US
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Telephone | 606-598-5564
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Fax | 606-598-6615
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Provider Business Mailing Address
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Address Line | PO BOX 190 470 MANCHESTER SQUARE SUITE 200
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City | MANCHESTER
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State | KY
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Zip | 40962-8781
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Country | US
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Telephone | 606-598-5564
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Fax | 606-598-6615
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Authorized Official
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Title or Position | HOME HEALTH MANAGER
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Name | MS. GLENNA HENSLEY
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Credential |
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Telephone | 606-598-5564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 150042
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 150042
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 150042
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150042
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License Number State | KY
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