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General NPI Number Information
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NPI Number | 1053885053
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Entity Type | Individual
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Provider Name | KE XU MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2125 S FLOYD ST
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City | LOUISVILLE
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State | KY
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Zip | 40208-2752
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Country | US
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Telephone | 502-852-2506
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Fax |
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Provider Business Mailing Address
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Address Line | 11868 VICTORY KNOLL CIR
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City | LOUISVILLE
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State | KY
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Zip | 40243-1916
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Country | US
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Telephone | 614-371-1568
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT006341
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License Number State | OH
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