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General NPI Number Information
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NPI Number | 1265307847
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Entity Type | Organization
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Legal Business Name | NORTHSTAR ANESTHESIA OF KENTUCKY PAIN PLLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 4000 KRESGE WAY
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City | LOUISVILLE
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State | KY
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Zip | 40207-4605
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Country | US
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Telephone | 502-897-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 6225 N STATE HIGHWAY 161 STE 200
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City | IRVING
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State | TX
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Zip | 75038-2241
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Country | US
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Telephone | 214-687-0001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA LUMBLEY
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Credential |
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Telephone | 617-935-5799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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