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NPI 1629276407

NPI 1629276407 : ROBERT E. EMIG DC PLLC : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1629276407
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT E. EMIG DC PLLC 
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Dates
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    Enumeration Date     |    07/03/2007
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    Last Update Date     |    03/18/2008
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Provider Practice Location Address
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    Address Line         |    4614 OUTER LOOP 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40219
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    Country              |    US
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    Telephone            |    502-964-9814
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    Fax                  |    502-964-3548
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Provider Business Mailing Address
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    Address Line         |    4614 OUTER LOOP 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40219
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    Country              |    US
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    Telephone            |    502-964-9814
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    Fax                  |    502-964-3548
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROBERT EARL EMIG 
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    Credential           |    DC
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    Telephone            |    502-964-9814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    3703-R
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    License Number State |    KY
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