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General NPI Number Information
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NPI Number | 1154794352
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Entity Type | Organization
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Legal Business Name | DITTO & MUSICK PLLC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 104 FAIRFIELD DR
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-8842
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Country | US
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Telephone | 859-887-2441
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Fax | 859-885-3323
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Provider Business Mailing Address
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Address Line | 104 FAIRFIELD DR
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-8842
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Country | US
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Telephone | 859-887-2441
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Fax | 859-885-3323
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN E MUSICK
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Credential | OD
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Telephone | 859-887-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | KY0840DT
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | KY1697DT
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | KY0895DT
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License Number State | KY
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