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General NPI Number Information
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NPI Number | 1295735181
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Entity Type | Individual
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Provider Name | DR. NOEL Z RELOJ SR.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 551 WESTPORT RD STE C
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-769-6330
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Fax | 270-766-1032
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Provider Business Mailing Address
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Address Line | PO BOX 2009
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City | ELIZABETHTOWN
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State | KY
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Zip | 42702-2009
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Country | US
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Telephone | 270-769-6330
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Fax | 270-766-1032
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 26536
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License Number State | KY
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