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General NPI Number Information
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NPI Number | 1245815422
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Entity Type | Organization
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Legal Business Name | MONARCH MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40217-1417
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Country | US
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Telephone | 502-345-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 BARDSTOWN RD STE 142
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City | LOUISVILLE
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State | KY
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Zip | 40204-1353
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Country | US
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Telephone | 502-345-2698
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | BRAD WILLIAM HARP
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Credential |
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Telephone | 502-345-2698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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