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General NPI Number Information
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NPI Number | 1245006626
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Entity Type | Organization
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Legal Business Name | LAKEWOOD HEALTHCARE CONSULTING LLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 1009 N DUPONT SQ
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City | LOUISVILLE
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State | KY
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Zip | 40207-4612
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Country | US
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Telephone | 502-357-3664
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Fax |
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Provider Business Mailing Address
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Address Line | 6004 NEW CUT RD
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City | CRESTWOOD
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State | KY
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Zip | 40014-9543
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Country | US
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Telephone | 859-552-3334
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | DR. JAMES C RHODES
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Credential | PHARMD
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Telephone | 859-552-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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