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General NPI Number Information
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NPI Number | 1326048091
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Entity Type | Organization
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Legal Business Name | LOURDES AMBULATORY SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 225 MEDICAL CENTER DR STE 105
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City | PADUCAH
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State | KY
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Zip | 42003-7934
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Country | US
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Telephone | 270-441-4125
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Fax | 270-441-4171
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Provider Business Mailing Address
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Address Line | PO BOX 638982
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City | CINCINNATI
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State | OH
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Zip | 45263-8982
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Country | US
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Telephone | 270-441-4500
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Fax | 270-441-4171
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL YUNGMANN
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Credential |
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Telephone | 270-444-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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