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General NPI Number Information
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NPI Number | 1326126681
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Entity Type | Organization
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Legal Business Name | GREATER LOUISVILLE ANESTHESIA SERVICES, PLLC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 1025 NEW MOODY LN C/O BAPTIST HOSPITAL NORTHEAST
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City | LAGRANGE
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State | KY
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Zip | 40031-9154
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Country | US
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Telephone | 502-222-3886
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Fax | 502-222-8647
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Provider Business Mailing Address
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Address Line | 1025 NEW MOODY LN
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City | LAGRANGE
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State | KY
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Zip | 40031-9154
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Country | US
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Telephone | 502-222-3886
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Fax | 502-222-8647
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Authorized Official
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Title or Position | MGR/OWNER
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Name | MS. KAREN BUTTERFIELD
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Credential | CRNA
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Telephone | 502-222-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25877
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License Number State | KY
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