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General NPI Number Information
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NPI Number | 1326103417
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Entity Type | Organization
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Legal Business Name | ROSENBLOOM & RAFSON, P.S.C
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 3 AUDUBON PLAZA DR STE 230
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City | LOUISVILLE
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State | KY
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Zip | 40217-1319
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Country | US
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Telephone | 502-636-0574
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Fax | 502-636-0579
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Provider Business Mailing Address
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Address Line | 3 AUDUBON PLAZA DR STE 230
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City | LOUISVILLE
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State | KY
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Zip | 40217-1319
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Country | US
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Telephone | 502-636-0574
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Fax | 502-636-0579
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CINDY CRIDER
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Credential |
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Telephone | 502-636-0574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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