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General NPI Number Information
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NPI Number | 1255211280
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTH MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4130 DUTCHMANS LN STE 103
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City | LOUISVILLE
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State | KY
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Zip | 40207-4708
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Country | US
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Telephone | 502-897-1790
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Fax | 502-897-1750
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Provider Business Mailing Address
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Address Line | 1901 CAMPUS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-2308
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Country | US
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Telephone | 502-253-4924
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Fax | 502-489-5750
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DANYEL D CLAY
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Credential |
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Telephone | 502-253-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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