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General NPI Number Information
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NPI Number | 1396791208
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Entity Type | Organization
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Legal Business Name | LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 834 E BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40204-1072
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Country | US
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Telephone | 502-574-4245
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Fax | 502-574-4368
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Provider Business Mailing Address
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Address Line | 834 E BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40204-1072
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Country | US
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Telephone | 502-574-4245
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Fax | 502-574-4368
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Authorized Official
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Title or Position | OMB MANAGER
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Name | MRS. EVETTE D HUDSON
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Credential |
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Telephone | 502-574-6580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1650
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License Number State | KY
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