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General NPI Number Information
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NPI Number | 1619299666
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Entity Type | Organization
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Legal Business Name | BAPTIST PHYSICIANS LEXINGTON, INC
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 1760 NICHOLASVILLE RD SUITE 401
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City | LEXINGTON
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State | KY
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Zip | 40503-1471
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Country | US
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Telephone | 859-260-6537
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Fax |
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Provider Business Mailing Address
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Address Line | 4071 TATES CREEK CENTRE DR SUITE 202
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City | LEXINGTON
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State | KY
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Zip | 40517-3062
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Country | US
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Telephone | 859-260-4385
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Fax | 859-260-4386
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | WILLIAMS SISSON
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Credential |
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Telephone | 859-260-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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