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General NPI Number Information
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NPI Number | 1013100841
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Entity Type | Organization
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Legal Business Name | JESSAMINE EYE CENTER, P.L.L.C.
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 100 JOHN SUTHERLAND DR SUITE 3
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2424
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Country | US
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Telephone | 859-881-1400
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Fax | 859-881-3489
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Provider Business Mailing Address
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Address Line | 100 JOHN SUTHERLAND DR SUITE 3
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2424
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Country | US
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Telephone | 859-881-1400
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Fax | 859-881-3489
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. LINDA KATHLEEN KATZ
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Credential | M.D.
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Telephone | 859-881-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35266
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License Number State | KY
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