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General NPI Number Information
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NPI Number | 1467593418
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Entity Type | Individual
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Provider Name | VEDAD SEREMET M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 9501 NORTON COMMONS BLVD SUITE B
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City | PROSPECT
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State | KY
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Zip | 40059-7522
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Country | US
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Telephone | 502-618-2472
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Fax | 502-618-2479
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Provider Business Mailing Address
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Address Line | 9501 NORTON COMMONS BLVD UNIT B
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City | PROSPECT
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State | KY
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Zip | 40059-7522
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Country | US
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Telephone | 502-618-2472
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Fax | 502-618-2479
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40638
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License Number State | KY
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