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General NPI Number Information
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NPI Number | 1497776397
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Entity Type | Organization
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Legal Business Name | MEDICAL SPECIALISTS OF KENTUCKIANA PLLC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 03/12/2022
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Provider Practice Location Address
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Address Line | 1013 DUPONT SQUARE NORTH STE A
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-896-6166
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Fax | 502-896-6168
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Provider Business Mailing Address
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Address Line | 1013 DUPONT SQUARE NORTH STE A
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-896-6166
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Fax | 502-896-6168
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Authorized Official
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Title or Position | OWNER
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Name | DR. VANI NADAR
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Credential | MD
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Telephone | 502-896-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36216
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35843
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License Number State | KY
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