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General NPI Number Information
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NPI Number | 1114352796
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Entity Type | Organization
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Legal Business Name | PRO CLIENT SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 09/13/2013
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Provider Practice Location Address
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Address Line | 700 BLANKENBAKER LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-1040
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Country | US
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Telephone | 502-741-6607
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Fax | 502-414-0262
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Provider Business Mailing Address
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Address Line | 700 BLANKENBAKER LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-1040
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Country | US
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Telephone | 502-741-6607
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Fax | 502-414-0262
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. EMMETT LEE OGDEN III
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Credential |
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Telephone | 502-741-6607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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