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General NPI Number Information
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NPI Number | 1386678365
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Entity Type | Organization
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Legal Business Name | UNIVERSITY ORTHOPAEDIC ASSOCIATES
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 530 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1675
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Country | US
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Telephone | 502-562-6501
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Fax | 502-562-6502
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Provider Business Mailing Address
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Address Line | 210 E GRAY ST #900
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City | LOUISVILLE
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State | KY
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Zip | 40202-3900
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Country | US
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Telephone | 502-584-7525
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Fax | 502-589-0849
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | TRINA KOCHERT
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Credential | CCP
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Telephone | 502-584-7525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | KY
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