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General NPI Number Information
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NPI Number | 1154283299
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Entity Type | Organization
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Legal Business Name | BLUEGRASS INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2716 OLD ROSEBUD RD STE 280
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City | LEXINGTON
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State | KY
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Zip | 40509-8009
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Country | US
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Telephone | 859-554-2691
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 OLD ROSEBUD RD STE 280
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City | LEXINGTON
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State | KY
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Zip | 40509-8009
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Country | US
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Telephone | 859-554-2691
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHYSICIAN
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Name | DR. NOVA WHITE
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Credential | DO
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Telephone | 859-339-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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