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General NPI Number Information
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NPI Number | 1508807587
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Entity Type | Organization
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Legal Business Name | KENTUCKY ORTHOPAEDIC AND HAND SURGEONS PSC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 1780 NICHOLASVILLE RD BUILDING B SUITE 501
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City | LEXINGTON
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State | KY
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Zip | 40503-1400
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Country | US
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Telephone | 859-278-3481
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Fax | 859-277-7365
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Provider Business Mailing Address
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Address Line | PO BOX 890437
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City | CHARLOTTE
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State | NC
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Zip | 28289-0437
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Country | US
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Telephone | 859-278-3481
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Fax | 859-277-7365
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARILYN GALL
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Credential |
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Telephone | 859-278-3481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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