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NPI 1639557358

NPI 1639557358 : WILLIAM B ROTHSTEIN MD : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1639557358
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM B ROTHSTEIN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/14/2015
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    740 S LIMESTONE STE L119 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40536-0001
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    Country              |    US
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    Telephone            |    859-257-3253
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    Fax                  |    859-323-1203
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Provider Business Mailing Address
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    Address Line         |    618 HOSPITAL RD 
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    City                 |    TAPPAHANNOCK
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    State                |    VA
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    Zip                  |    22560
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    Country              |    US
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    Telephone            |    804-828-7391
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    Fax                  |    804-828-0191
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    0101265419
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    TP670
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    License Number State |    KY
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