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General NPI Number Information
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NPI Number | 1700109832
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Entity Type | Organization
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Legal Business Name | MOLLOY G. VEAL MD PSC
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 3900 KRESGE WAY SUITE 50
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City | LOUISVILLE
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State | KY
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Zip | 40207-4660
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Country | US
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Telephone | 502-930-2874
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Fax | 502-339-5700
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Provider Business Mailing Address
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Address Line | 3900 KRESGE WAY SUITE 50
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City | LOUISVILLE
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State | KY
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Zip | 40207-4660
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Country | US
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Telephone | 502-930-2874
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Fax | 502-339-5700
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOLLOY G VEAL III
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Credential | M.D.
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Telephone | 502-930-2874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19156
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License Number State | KY
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