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General NPI Number Information
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NPI Number | 1013928449
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Entity Type | Organization
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Legal Business Name | DENIS P RALEIGH MD PLLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 2315 GREEN VALLEY RD STE 200
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City | NEW ALBANY
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State | IN
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Zip | 47150-4689
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Country | US
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Telephone | 502-614-6376
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Fax | 502-614-7817
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Provider Business Mailing Address
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Address Line | PO BOX 7365
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City | LOUISVILLE
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State | KY
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Zip | 40257-0365
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Country | US
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Telephone | 502-614-6376
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Fax | 502-614-7817
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Authorized Official
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Title or Position | MD OWNER
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Name | DENIS P RALEIGH
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Credential | MD
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Telephone | 502-614-6376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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