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General NPI Number Information
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NPI Number | 1063183010
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Entity Type | Organization
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Legal Business Name | CENTRAL KENTUCKY FOOT & ANKLE PSC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 120 PROSPEROUS PL STE 103
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City | LEXINGTON
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State | KY
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Zip | 40509-1866
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Country | US
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Telephone | 931-205-1459
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Fax |
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Provider Business Mailing Address
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Address Line | 120 PROSPEROUS PL STE 103
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City | LEXINGTON
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State | KY
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Zip | 40509-1866
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Country | US
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Telephone | 931-205-1459
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSH HILL
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Credential | MD
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Telephone | 931-205-1459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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