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General NPI Number Information
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NPI Number | 1366502528
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Entity Type | Organization
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Legal Business Name | WOLF, KAHLE, YUSK PSC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 4884 BROWNSBORO RD
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City | LOUISVILLE
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State | KY
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Zip | 40207-2342
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Country | US
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Telephone | 502-896-4459
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Fax | 502-896-1164
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Provider Business Mailing Address
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Address Line | 4884 BROWNSBORO RD
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City | LOUISVILLE
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State | KY
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Zip | 40207-2342
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Country | US
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Telephone | 502-896-4459
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Fax | 502-896-1164
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. RENITA D PRICE
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Credential | M.D.
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Telephone | 502-896-4459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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