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General NPI Number Information
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NPI Number | 1184719239
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Entity Type | Organization
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Legal Business Name | BAPTIST PHYSICIANS LEXINGTON, INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 1760 NICHOLASVILLE RD SUITE 302
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City | LEXINGTON
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State | KY
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Zip | 40503-1471
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Country | US
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Telephone | 859-260-2766
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Fax | 859-260-2767
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Provider Business Mailing Address
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Address Line | 1760 NICHOLASVILLE RD SUITE 302
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City | LEXINGTON
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State | KY
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Zip | 40503-1471
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Country | US
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Telephone | 859-260-2766
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Fax | 859-260-2767
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Authorized Official
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Title or Position | OWNER
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Name | LUIS VASCELLO
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Credential | M.D.
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Telephone | 859-268-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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