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NPI 1568860021

NPI 1568860021 : ALEX ARMSTRONG : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1568860021
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    Entity Type          |    Individual 
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    Provider Name        |    ALEX ARMSTRONG
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/16/2014
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    Last Update Date     |    12/16/2014
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Provider Practice Location Address
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    Address Line         |    2817 DEL RIO PL SUITE 5
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40220-2340
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    Country              |    US
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    Telephone            |    502-287-0645
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 W MUHAMMAD ALI BLVD 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40202-1423
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    Country              |    US
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    Telephone            |    
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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