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General NPI Number Information
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NPI Number | 1629333125
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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 | 07/10/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 349 BOGLE ST SUITE B
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City | SOMERSET
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State | KY
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Zip | 42503-2895
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Country | US
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Telephone | 606-451-9448
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Fax | 606-451-9540
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Provider Business Mailing Address
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Address Line | 349 BOGLE ST SUITE B
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City | SOMERSET
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State | KY
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Zip | 42503-2895
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Country | US
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Telephone | 606-451-9448
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Fax | 606-451-9540
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. CATHY SUSAN MOBLEY
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Credential |
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Telephone | 859-260-4122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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