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General NPI Number Information
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NPI Number | 1114027133
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Entity Type | Organization
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Legal Business Name | PHYSICIANS BILLINGS DIAGNOSTICS
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 1126 S 3RD ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2902
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Country | US
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Telephone | 502-649-6414
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 S 3RD ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2902
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Country | US
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Telephone | 502-649-6414
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVE LOWERY
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Credential |
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Telephone | 502-649-6414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number |
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License Number State |
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