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General NPI Number Information
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NPI Number | 1144271644
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Entity Type | Individual
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Provider Name | ROSS WADE COTTON MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 11518 MAIN ST
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City | LOUISVILLE
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State | KY
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Zip | 40243-1316
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Country | US
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Telephone | 270-229-6402
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 CARDINAL DR UNIT 408
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City | LOUISVILLE
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State | KY
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Zip | 40213-1382
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Country | US
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Telephone | 502-759-2103
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Fax |
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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 | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | 2015090
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License Number State | KY
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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 | 25225
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License Number State | KY
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