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General NPI Number Information
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NPI Number | 1043674989
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 1 BAYLOR PLZ BAYLOR COLLEGE OF MEDICINE, PATHOLOGY, MC 315
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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Country | US
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Telephone | 270-202-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 873 DENZIL AVE
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City | BOWLING GREEN
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State | KY
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Zip | 42104-4026
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Country | US
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Telephone | 270-202-3318
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Fax |
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Authorized Official
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Title or Position | MEDICAL STUDENT
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Name | MISS RUBY JEAN CHANG
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Credential |
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Telephone | 270-202-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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