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General NPI Number Information
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NPI Number | 1336706415
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Entity Type | Organization
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Legal Business Name | ADVANCED TECHNOLOGY OF KENTUCKY INC.
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 233 THOMAS MORE PKWY
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3423
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Country | US
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Telephone | 859-331-0526
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Fax | 859-331-0602
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Provider Business Mailing Address
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Address Line | 6325 MIAMI RD
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City | CINCINNATI
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State | OH
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Zip | 45243-3030
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Country | US
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Telephone | 513-383-2490
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Fax | 800-303-1973
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SCOTT BLACKWELDER
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Credential | COF
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Telephone | 513-383-2490
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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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