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General NPI Number Information
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NPI Number | 1154588325
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Entity Type | Organization
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Legal Business Name | UNION PEDIATRICS, PSC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 8667 US HIGHWAY 42 STE 300
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City | UNION
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State | KY
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Zip | 41091-8759
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Country | US
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Telephone | 859-384-2550
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Fax | 859-384-0947
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Provider Business Mailing Address
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Address Line | 8667 US HIGHWAY 42 STE 300
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City | UNION
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State | KY
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Zip | 41091-8759
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Country | US
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Telephone | 859-384-2550
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Fax | 859-384-0947
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN MICHELLE WARNER
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Credential | MD
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Telephone | 859-384-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35665
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License Number State | KY
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