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General NPI Number Information
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NPI Number | 1174651491
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Entity Type | Organization
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Legal Business Name | KENTUCKY ORTHOPEDIC SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 104 FROMAN CREEK CT
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City | BARDSTOWN
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State | KY
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Zip | 40004-9430
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Country | US
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Telephone | 502-350-1079
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Fax | 502-350-1079
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Provider Business Mailing Address
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Address Line | 104 FROMAN CREEK CT
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City | BARDSTOWN
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State | KY
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Zip | 40004-9430
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Country | US
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Telephone | 502-350-1079
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Fax | 502-350-1079
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES ROBIN HINKEBEIN
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Credential | PT, OCS, ATC
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Telephone | 502-350-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | KY
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