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General NPI Number Information
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NPI Number | 1437141876
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Entity Type | Individual
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Provider Name | MARK B WORKMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 1500 JAMES SIMPSON JR WAY
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City | COVINGTON
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State | KY
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Zip | 41011-0801
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Country | US
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Telephone | 859-655-9500
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Fax | 859-655-3077
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Provider Business Mailing Address
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Address Line | 1500 JAMES SIMPSON JR WAY
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City | COVINGTON
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State | KY
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Zip | 41011-0801
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Country | US
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Telephone | 859-655-9500
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Fax | 859-655-3077
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35-047833
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18687
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License Number State | KY
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