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General NPI Number Information
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NPI Number | 1104098862
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Entity Type | Individual
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Provider Name | DEREK WALTER FORSTER MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 3101 BEAUMONT CENTRE CIR STE 100
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City | LEXINGTON
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State | KY
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Zip | 40513-1959
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Country | US
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Telephone | 859-323-5544
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Fax | 859-257-9286
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Provider Business Mailing Address
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Address Line | UK DIVISION OF INFECTIOUS DISEASES 740 S. LIMESTONE, K512 KY CLINIC
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-323-8178
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Fax | 859-323-8926
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 45890
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License Number State | KY
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