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General NPI Number Information
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NPI Number | 1306043146
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Entity Type | Organization
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Legal Business Name | JEWISH HOSPITAL & ST MARY'S HEALTHCARE
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1850 BLUEGRASS AVE ATTN PHARMACY PLUS
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City | LOUISVILLE
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State | KY
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Zip | 40215-1161
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Country | US
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Telephone | 502-363-3791
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 BLUEGRASS AVE ATTN PHARMACY PLUS
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City | LOUISVILLE
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State | KY
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Zip | 40215-1161
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Country | US
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Telephone | 502-363-3791
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARK MILBURN
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Credential |
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Telephone | 502-363-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | P07194
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License Number State | KY
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