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General NPI Number Information
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NPI Number | 1528050366
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Entity Type | Individual
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Provider Name | JAUDON ELAINE BEHRMAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 651 PERIMETER DR STE.300
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City | LEXINGTON
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State | KY
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Zip | 40517-4134
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Country | US
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Telephone | 859-268-5300
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Fax | 859-335-3723
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Provider Business Mailing Address
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Address Line | 651 PERIMETER DR STE.300
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City | LEXINGTON
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State | KY
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Zip | 40517-4134
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Country | US
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Telephone | 859-268-5300
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Fax | 859-335-3723
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 23655
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License Number State | KY
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