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General NPI Number Information
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NPI Number | 1164829784
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Entity Type | Organization
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Legal Business Name | KENTUCKY CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 800 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 | 859-323-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 320 LINDENHURST DR APT 13107
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City | LEXINGTON
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State | KY
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Zip | 40509-1346
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Country | US
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Telephone | 618-841-6282
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Fax |
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Authorized Official
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Title or Position | NEONATOLOGY PROVIDER
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Name | TRIA KINNARD
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Credential | PA-C
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Telephone | 859-323-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | TC337
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License Number State | KY
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