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General NPI Number Information
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NPI Number | 1619932084
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Entity Type | Individual
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Provider Name | RICHARD H CALES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 5722 OUTER LOOP
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City | LOUISVILLE
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State | KY
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Zip | 40219-4156
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Country | US
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Telephone | 502-492-7455
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Fax | 502-921-0222
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Provider Business Mailing Address
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Address Line | P O BOX 940245
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City | LOUISVILLE
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State | KY
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Zip | 40295-0001
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Country | US
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Telephone | 502-969-6552
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Fax | 502-969-3799
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 36961
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 01061356A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36961
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 36961
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License Number State | KY
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