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General NPI Number Information
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NPI Number | 1265495063
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Entity Type | Individual
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Provider Name | VELUPILLAI WIGNAKUMAR M.D, FRCS
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 80 HOSPITAL DR
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City | BARBOURVILLE
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State | KY
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Zip | 40906-7363
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Country | US
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Telephone | 606-545-5539
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Fax | 606-545-5591
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Provider Business Mailing Address
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Address Line | 1625 NICHOLASVILLE ROAD SUITE 201
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City | LEXINGTON
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State | KY
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Zip | 40503
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Country | US
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Telephone | 859-619-1372
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Fax | 606-545-5591
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | KY34425
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License Number State | KY
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