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General NPI Number Information
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NPI Number | 1235365537
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Entity Type | Organization
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Legal Business Name | KENTUCKY HEART INSTITUTE INC
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 613 23RD ST SUITE 210
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City | ASHLAND
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State | KY
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Zip | 41101-2878
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Country | US
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Telephone | 606-326-9847
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Fax | 606-324-3418
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Provider Business Mailing Address
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Address Line | PO BOX 2380
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City | ASHLAND
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State | KY
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Zip | 41105-2380
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Country | US
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Telephone | 606-326-9847
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Fax | 606-324-3418
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SARA MARKS
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Credential |
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Telephone | 606-324-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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