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General NPI Number Information
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NPI Number | 1538103056
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Entity Type | Individual
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Provider Name | CHRISTOPHER PHILLIP DESIMONE MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 800 ROSE STREET
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-323-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 138 LEADER AVE
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City | LEXINGTON
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State | KY
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Zip | 40508-3215
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Country | US
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Telephone | 859-257-7910
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Fax | 859-257-7899
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 33954
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 33954
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 33954
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License Number State | KY
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