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General NPI Number Information
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NPI Number | 1346371762
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Entity Type | Organization
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Legal Business Name | CENTRAL EMERGENCY PHYSICIANS, PSC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 1740 NICHOLASVILLE RD CENTRAL BAPTIST HOSPITAL-EMERGENCY ROOM
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City | LEXINGTON
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State | KY
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Zip | 40503-1431
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Country | US
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Telephone | 859-260-6100
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Fax | 859-277-9320
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Provider Business Mailing Address
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Address Line | PO BOX 1827
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City | LEXINGTON
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State | KY
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Zip | 40588-1827
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Country | US
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Telephone | 859-277-8179
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Fax | 859-277-9320
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LELAND IRWIN
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Credential | M.D.
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Telephone | 859-277-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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