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NPI 1467567230

NPI 1467567230 : LOUISVILLE BONE AND JOINT SPECIALISTS P S C : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1467567230
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOUISVILLE BONE AND JOINT SPECIALISTS P S C 
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Dates
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    Enumeration Date     |    08/20/2006
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    Last Update Date     |    02/07/2008
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Provider Practice Location Address
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    Address Line         |    4001 KRESGE WAY SUITE 100
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40207-4640
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    Country              |    US
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    Telephone            |    502-897-6579
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    Fax                  |    502-357-1682
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Provider Business Mailing Address
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    Address Line         |    4001 KRESGE WAY SUITE 100
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40207-4640
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    Country              |    US
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    Telephone            |    502-897-6579
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    Fax                  |    502-357-1682
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BARTON H REUTLINGER 
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    Credential           |    M.D.
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    Telephone            |    502-897-6579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    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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