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General NPI Number Information
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NPI Number | 1649366196
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Entity Type | Organization
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Legal Business Name | LOUISVILLE COLORECTAL ASSOCIATES LLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 250 EAST LIBERTY STREET SUITE 610
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City | LOUISVILLE
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State | KY
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Zip | 40202-1536
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Country | US
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Telephone | 502-584-6666
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Fax | 502-589-6342
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Provider Business Mailing Address
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Address Line | 250 E LIBERTY ST SUITE 610
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City | LOUISVILLE
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State | KY
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Zip | 40202-1536
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Country | US
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Telephone | 502-584-6666
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Fax | 502-589-6342
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOWELL DEAN KATZ
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Credential | MD
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Telephone | 502-584-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 16857
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License Number State | KY
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