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General NPI Number Information
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NPI Number | 1407024664
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Entity Type | Organization
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Legal Business Name | WEISSKOPF CHILD EVALUATION CENTER
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 571 S FLOYD ST SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40202-3818
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Country | US
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Telephone | 502-852-7897
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Fax | 502-852-2911
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Provider Business Mailing Address
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Address Line | 571 S FLOYD ST SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40202-3818
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Country | US
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Telephone | 502-852-7897
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Fax | 502-852-2911
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH H HERSH
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Credential | MD
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Telephone | 502-852-7897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 1085
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | R0815
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 583
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 20137
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License Number State | KY
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