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General NPI Number Information
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NPI Number | 1003587197
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Entity Type | Organization
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Legal Business Name | KLEINERT KUTZ AND ASSOCIATES HAND CARE CENTER
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 3605 NORTHGATE CT STE 102
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City | NEW ALBANY
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State | IN
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Zip | 47150-6400
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Country | US
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Telephone | 502-561-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 225 ABRAHAM FLEXNER WAY STE 700
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City | LOUISVILLE
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State | KY
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Zip | 40202-3868
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Country | US
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Telephone | 502-561-4263
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHANNON M BASS
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Credential |
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Telephone | 502-562-0398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery 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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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