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General NPI Number Information
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NPI Number | 1124027388
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Entity Type | Individual
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Provider Name | IVETA JANSZEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-2906
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Country | US
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Telephone | 859-323-5956
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Fax | 859-323-1080
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Provider Business Mailing Address
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Address Line | 11490 SPRINGFIELD PIKE
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City | CINCINNATI
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State | OH
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Zip | 45246-3524
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Country | US
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Telephone | 513-672-3309
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Fax | 513-672-3323
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35071442
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 32692
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License Number State | KY
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