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General NPI Number Information
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NPI Number | 1013939883
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Entity Type | Individual
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Provider Name | PHILIP O DRIPCHAK MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 8033 DIXIE HWY STE B
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City | LOUISVILLE
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State | KY
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Zip | 40258-1344
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Country | US
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Telephone | 502-449-6448
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Fax | 502-449-6455
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Provider Business Mailing Address
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Address Line | PO BOX 950202
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City | LOUISVILLE
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State | KY
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Zip | 40295-0202
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 32284
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License Number State | KY
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