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General NPI Number Information
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NPI Number | 1700163326
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Entity Type | Organization
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Legal Business Name | BAPTIST MEDICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 2600 STANLEY GAULT PKWY SUITE 201
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City | LOUISVILLE
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State | KY
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Zip | 40223-4197
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Country | US
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Telephone | 502-238-2801
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Fax | 502-238-2835
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Provider Business Mailing Address
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Address Line | 2600 STANLEY GAULT PKWY SUITE 201
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City | LOUISVILLE
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State | KY
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Zip | 40223-4197
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Country | US
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Telephone | 502-238-2801
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Fax | 502-238-2835
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | KATHERINE P SMITH
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Credential |
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Telephone | 502-238-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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