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General NPI Number Information
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NPI Number | 1528093762
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Entity Type | Organization
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Legal Business Name | POMEROY & RHOADS ORTHOPEDICS PLLC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 6641 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40258-3909
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Country | US
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Telephone | 502-364-0902
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Fax | 502-364-0099
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Provider Business Mailing Address
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Address Line | 6641 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40258-3909
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Country | US
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Telephone | 502-364-0902
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Fax | 502-364-0099
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Authorized Official
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Title or Position | PARTNER
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Name | DAVID RHOADS
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Credential | MD
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Telephone | 502-364-0902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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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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