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General NPI Number Information
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NPI Number | 1134174360
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PSC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST SUITE 410
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City | LOUISVILLE
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State | KY
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Zip | 40202-5700
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Country | US
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Telephone | 502-271-5999
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Fax | 502-271-5994
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Provider Business Mailing Address
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Address Line | 550 S JACKSON ST UNIVERSITY OF LOUISVILLE DEPT. OF OB/GYN
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROFESSOR AND CHAIR
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Name | DR. CHRISTINE LOUISE COOK
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Credential | M.D.
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Telephone | 502-271-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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