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General NPI Number Information
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NPI Number | 1124368485
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Entity Type | Organization
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Legal Business Name | UNITED PHYSICIANS LLC
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 3999 DUTCHMANS LN SUITE 2F
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City | LOUISVILLE
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State | KY
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Zip | 40207-4729
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Country | US
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Telephone | 502-883-0227
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Fax | 502-410-0484
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Provider Business Mailing Address
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Address Line | 204 S LYNDON LN
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City | LOUISVILLE
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State | KY
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Zip | 40222-5547
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Country | US
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Telephone | 904-234-0766
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Fax | 502-410-0484
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SAJJAD JAMEEL
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Credential | MD
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Telephone | 904-234-0766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 39870
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License Number State | KY
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