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General NPI Number Information
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NPI Number | 1205944568
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Entity Type | Organization
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Legal Business Name | CENTRAL RADIOLOGY ASSOCIATES, LLP
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 1740 NICHOLASVILLE RD CENTRAL BAPTIST HOSPITAL
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City | LEXINGTON
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State | KY
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Zip | 40503
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Country | US
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Telephone | 606-864-9697
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Fax | 606-864-8411
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Provider Business Mailing Address
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Address Line | PO BOX 70335 CENTRAL RADIOLOGY ASSOCIATES
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City | LOUISVILLE
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State | KY
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Zip | 40270-0335
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Country | US
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Telephone | 606-864-9697
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Fax | 606-864-8411
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHERINE JENKINS
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Credential | MD
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Telephone | 859-260-6152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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