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General NPI Number Information
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NPI Number | 1538194667
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH MEDICAL FOUNDATION, INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1401 HARRODSBURG RD SUITE A440
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City | LEXINGTON
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State | KY
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Zip | 40504-3751
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Country | US
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Telephone | 859-967-5634
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Fax | 859-967-5608
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Provider Business Mailing Address
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Address Line | 1401 HARRODSBURG ROAD SUITE A440
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City | LEXINGTON
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State | KY
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Zip | 40504
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Country | US
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Telephone | 859-967-5634
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Fax | 859-967-5608
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Authorized Official
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Title or Position | CEO
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Name | MR. GENE WOODS
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Credential |
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Telephone | 859-313-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 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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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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