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General NPI Number Information
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NPI Number | 1053255125
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Entity Type | Organization
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Legal Business Name | VEIN AESTHETICS MD PLLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 217 LA GRANGE RD
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City | PEWEE VALLEY
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State | KY
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Zip | 40056-9174
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Country | US
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Telephone | 502-649-4441
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Fax | 502-901-9287
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Provider Business Mailing Address
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Address Line | 217 LA GRANGE RD
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City | PEWEE VALLEY
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State | KY
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Zip | 40056-9174
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Country | US
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Telephone | 502-649-4441
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Fax | 502-901-9287
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH S RACHEL
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Credential | RACHEL
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Telephone | 502-649-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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