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General NPI Number Information
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NPI Number | 1043522584
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Entity Type | Individual
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Provider Name | MR. ERNEST JOHN KETTIG
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Gender | Male
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 206 TAYLORSVILLE RD. STE. A
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City | TAYLORSVILLE
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State | KY
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Zip | 40071
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Country | US
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Telephone | 502-354-9400
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Fax | 502-354-9401
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Provider Business Mailing Address
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Address Line | 206 TAYLORSVILLE RD. STE. A
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City | TAYLORSVILLE
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State | KY
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Zip | 40071
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Country | US
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Telephone | 502-354-9400
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Fax | 502-354-9401
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | KY
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