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NPI 1306957071

NPI 1306957071 : PATIENT AIDS INC : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1306957071
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATIENT AIDS INC 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    12/16/2019
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Provider Practice Location Address
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    Address Line         |    3158 MAPLELEAF DR 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40509-1240
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    Country              |    US
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    Telephone            |    859-388-9002
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    Fax                  |    859-388-9011
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Provider Business Mailing Address
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    Address Line         |    100 CROSSING DR 
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    City                 |    WILDER
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    State                |    KY
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    Zip                  |    41076-8848
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    Country              |    US
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    Telephone            |    859-441-8876
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    Fax                  |    859-441-5850
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. GREG  CRAWFORD 
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    Credential           |    
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    Telephone            |    859-441-8876
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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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