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General NPI Number Information
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NPI Number | 1992180772
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH HEALTH CORPORATION, INC.
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 427 US 31W BYP
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1703
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Country | US
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Telephone | 270-796-8000
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Fax | 270-793-9328
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Provider Business Mailing Address
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Address Line | PO BOX 2697
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City | BOWLING GREEN
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State | KY
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Zip | 42102-7697
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Country | US
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Telephone | 270-901-0629
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Fax | 270-901-0892
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT & CFO
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Name | MICHELE LAWLESS
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Credential |
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Telephone | 270-745-1500
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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