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General NPI Number Information
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NPI Number | 1992092084
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Entity Type | Organization
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Legal Business Name | BLUEGRASS RAPE CRISIS CENTER
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 145 CONSTITUTION ST
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City | LEXINGTON
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State | KY
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Zip | 40507-2112
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Country | US
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Telephone | 859-253-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 145 CONSTITUTION ST
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City | LEXINGTON
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State | KY
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Zip | 40507-2112
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Country | US
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Telephone | 859-253-2615
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Fax |
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Authorized Official
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Title or Position | INTERIM DIRECTOR
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Name | MS. STEPHANIE HUMES
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Credential | MSW, CSW
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Telephone | 859-253-2615
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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 | KY
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