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General NPI Number Information
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NPI Number | 1225030653
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Entity Type | Individual
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Provider Name | GEORGE D VENHOFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 9520 ORMSBY STATION RD. SUITE 175 PLAZA III HURSTBOURNE GREEN
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City | LOUISVILLE
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State | KY
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Zip | 40223-5021
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Country | US
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Telephone | 502-426-2261
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Fax | 502-426-6371
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Provider Business Mailing Address
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Address Line | 6801 DIXIE HWY SUITE 130
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City | LOUISVILLE
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State | KY
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Zip | 40258-3913
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Country | US
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Telephone | 502-426-0606
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Fax | 502-426-0604
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17383
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License Number State | KY
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