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General NPI Number Information
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NPI Number | 1366606543
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Entity Type | Organization
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Legal Business Name | EAST END HOSPITALISTS, PLLC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 2125 TYLER LN
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City | LOUISVILLE
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State | KY
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Zip | 40205-2923
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Country | US
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Telephone | 502-721-7578
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Fax |
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Provider Business Mailing Address
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Address Line | 2125 TYLER LN
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City | LOUISVILLE
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State | KY
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Zip | 40205-2923
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Country | US
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Telephone | 502-721-7578
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. MONICA KAY PALOALTO
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Credential |
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Telephone | 502-638-4282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 32191
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License Number State | KY
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