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General NPI Number Information
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NPI Number | 1528302478
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC ASSOCIATES OF KENTUCKIANA PLLC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 4001 KRESGE WAY STE 330
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City | LOUISVILLE
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State | KY
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Zip | 40207-4640
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Country | US
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Telephone | 502-585-4376
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Fax | 502-581-1274
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Provider Business Mailing Address
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Address Line | 8302 WESTOVER DR
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City | PROSPECT
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State | KY
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Zip | 40059-9467
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Country | US
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Telephone | 502-585-4376
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Fax | 502-581-1274
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Authorized Official
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Title or Position | OWNER
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Name | FRANK O BONNARENS JR.
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Credential | MD
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Telephone | 502-585-4376
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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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