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General NPI Number Information
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NPI Number | 1578652376
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Entity Type | Individual
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Provider Name | LISA CONTI MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1025 NEW MOODY LN
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City | LAGRANGE
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State | KY
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Zip | 40031-9154
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Country | US
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Telephone | 502-222-3886
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Fax | 502-222-8647
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Provider Business Mailing Address
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Address Line | 5927 CENTERWOOD DR
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City | CRESTWOOD
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State | KY
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Zip | 40014-9196
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Country | US
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Telephone | 502-241-3934
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Fax | 502-222-8647
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25877
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License Number State | KY
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