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General NPI Number Information
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NPI Number | 1699891457
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Entity Type | Organization
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Legal Business Name | HEALTHCARE INITIATIVES,PLLC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 5129 DIXIE HWY STE 105
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City | LOUISVILLE
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State | KY
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Zip | 40216-1729
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Country | US
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Telephone | 502-933-9902
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Fax | 502-933-5085
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Provider Business Mailing Address
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Address Line | 318 MOCKINGBIRD VALLEY RD
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City | LOUISVILLE
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State | KY
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Zip | 40207-1362
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Country | US
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Telephone | 502-933-9902
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Fax | 502-933-5085
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ALAN I ROTH
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Credential | MD
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Telephone | 502-933-9902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | KY21471
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License Number State | KY
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