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General NPI Number Information
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NPI Number | 1225991177
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Entity Type | Organization
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Legal Business Name | LAKE CUMBERLAND RHEUMATOLOGY, PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 370 S HWY 27, SUITE 4
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City | SOMERSET
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State | KY
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Zip | 42501
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Country | US
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Telephone | 502-495-3665
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Fax |
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Provider Business Mailing Address
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Address Line | 3897 CHARLESTOWN RD
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City | NEW ALBANY
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State | IN
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Zip | 47150-9562
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, RCM
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Name | TRUDY K REISTER
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Credential |
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Telephone | 502-351-6984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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