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General NPI Number Information
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NPI Number | 1053550897
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Entity Type | Organization
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Legal Business Name | HOSPITALIST ASSOCIATE TEAM LLC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2115 CLUB VISTA PL
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City | LOUISVILLE
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State | KY
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Zip | 40245-5224
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Country | US
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Telephone | 513-560-5113
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22787
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City | LOUISVILLE
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State | KY
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Zip | 40252-0787
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Country | US
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Telephone | 502-713-8714
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. M ADDAS
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Credential | MD
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Telephone | 513-560-5113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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