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General NPI Number Information
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NPI Number | 1588135917
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Entity Type | Organization
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Legal Business Name | KLEINERT KUTZ AND ASSOCIATES HAND CARE CENTER
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Dates
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Enumeration Date | 12/11/2018
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 225 ABRAHAM FLEXNER WAY STE 700
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City | LOUISVILLE
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State | KY
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Zip | 40202-3868
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Country | US
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Telephone | 502-561-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 415 CROSSLAKE DR STE C
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City | EVANSVILLE
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State | IN
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Zip | 47715-8263
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Country | US
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Telephone | 812-759-8271
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Fax | 812-759-0636
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Authorized Official
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Title or Position | CEO
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Name | ROBERT MACKIN
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Credential |
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Telephone | 502-561-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery 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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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