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NPI 1316072960

NPI 1316072960 : LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT : FAIRDALE, KY

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General NPI Number Information
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    NPI Number           |    1316072960
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT 
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Dates
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    Enumeration Date     |    02/23/2007
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    Last Update Date     |    04/22/2024
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Provider Practice Location Address
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    Address Line         |    1000 NEIGHBORHOOD PL 
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    City                 |    FAIRDALE
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    State                |    KY
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    Zip                  |    40118-9697
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    Country              |    US
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    Telephone            |    502-363-1428
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    Fax                  |    502-363-1463
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Provider Business Mailing Address
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    Address Line         |    400 E GRAY ST P.O. BOX 1704
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40202-1740
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    Country              |    US
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    Telephone            |    502-574-6514
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    Fax                  |    502-574-6417
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Authorized Official
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    Title or Position    |    FISCAL MANAGER
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    Name                 |    MS. ROBYN M DICKERSON 
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    Credential           |    MSM
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    Telephone            |    502-574-6580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    251K00004
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    License Number State |    KY
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