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General NPI Number Information
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NPI Number | 1154649770
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Entity Type | Individual
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Provider Name | PAUL EDWARD MATUSZEWSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | UK ORTHOPAEDICS 740 S. LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-257-1000
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Fax |
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Provider Business Mailing Address
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Address Line | UK ORTHOPAEDICS 740 S. LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-257-1000
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2015-01074
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 49320
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License Number State | KY
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