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General NPI Number Information
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NPI Number | 1497700587
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Entity Type | Organization
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Legal Business Name | THE UNIVERSITY GYNECOLOGICAL & OBSTETRICAL FOUNDATION, INC.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 550 S JACKSON ST 3RD FLOOR
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone | 502-561-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 550 S JACKSON ST ATTN: VICKI MASTERSON UNIVERSITY OF LOUISVILLE
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROFESSOR AND CHAIR
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Name | DR. CHRISTINE COOK
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Credential | M.D.
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Telephone | 502-561-8850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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