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General NPI Number Information
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NPI Number | 1184578189
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Entity Type | Organization
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Legal Business Name | RELOUGEN MEDICAL PLLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 506 EXECUTIVE PARK
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City | LOUISVILLE
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State | KY
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Zip | 40207-4205
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Country | US
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Telephone | 502-822-6603
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Fax | 502-747-7071
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Provider Business Mailing Address
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Address Line | 506 EXECUTIVE PARK
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City | LOUISVILLE
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State | KY
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Zip | 40207-4205
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Country | US
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Telephone | 502-822-6603
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Fax | 502-747-7071
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Authorized Official
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Title or Position | OWNER
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Name | MARK CONLIFFE
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Credential | DO
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Telephone | 502-822-6603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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