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General NPI Number Information
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NPI Number | 1700803681
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Entity Type | Organization
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Legal Business Name | NEW LEXINGTON CLINIC, PSC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 1221 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2701
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Country | US
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Telephone | 859-258-6000
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Fax | 859-258-6123
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Provider Business Mailing Address
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Address Line | PO BOX 11790
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City | LEXINGTON
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State | KY
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Zip | 40578-1790
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Country | US
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Telephone | 859-258-6000
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Fax | 859-258-6123
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Authorized Official
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Title or Position | ASST. DIRECTOR BUS. OFFICE
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Name | DEE GAINES
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Credential |
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Telephone | 859-258-6091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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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 | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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