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General NPI Number Information
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NPI Number | 1013041391
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF LOUISVILLE
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 529 S JACKSON ST # 127
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City | LOUISVILLE
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State | KY
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Zip | 40202-3229
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Country | US
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Telephone | 502-852-5747
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Fax | 502-852-6132
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Provider Business Mailing Address
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Address Line | 529 S JACKSON ST # 127
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City | LOUISVILLE
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State | KY
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Zip | 40202-3229
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Country | US
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Telephone | 502-852-5747
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Fax | 502-852-6132
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Authorized Official
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Title or Position | PROSTHODONTICS
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Name | DR. ZAFRULLA KHAN
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Credential | DDS
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Telephone | 502-852-5747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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