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General NPI Number Information
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NPI Number | 1467543843
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Entity Type | Organization
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Legal Business Name | BLUEGRASS ORTHOPAEDICS & HAND CARE PSC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 3480 YORKSHIRE MEDICAL PARK
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City | LEXINGTON
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State | KY
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Zip | 40509-1886
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Country | US
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Telephone | 859-263-5140
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Fax | 859-263-5141
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Provider Business Mailing Address
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Address Line | 3480 YORKSHIRE MEDICAL PARK
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City | LEXINGTON
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State | KY
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Zip | 40509-1886
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Country | US
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Telephone | 859-263-5140
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Fax | 859-263-5141
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | KAY YOUNG
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Credential |
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Telephone | 859-263-5140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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