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General NPI Number Information
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NPI Number | 1558280792
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Entity Type | Individual
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Provider Name | JOE THOMAS SEBASTIAN
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Gender | Male
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1395 MEADOW LARK DR
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City | LAWRENCEBURG
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State | KY
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Zip | 40342-8806
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Country | US
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Telephone | 502-395-1037
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Fax |
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Provider Business Mailing Address
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Address Line | 1395 MEADOW LARK DR
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City | LAWRENCEBURG
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State | KY
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Zip | 40342-8806
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Country | US
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Telephone | 502-395-1037
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Fax |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 1053297
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License Number State | KY
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