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General NPI Number Information
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NPI Number | 1023170693
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Entity Type | Organization
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Legal Business Name | UNIVERSITY MEDICAL CENTER INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 530 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1675
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Country | US
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Telephone | 502-562-4002
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Fax | 562-562-3333
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Provider Business Mailing Address
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Address Line | 530 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1675
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Country | US
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Telephone | 502-562-4002
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Fax | 562-562-3333
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. JAMES H TAYLOR
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Credential |
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Telephone | 502-562-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 200289
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License Number State | KY
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