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General NPI Number Information
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NPI Number | 1700807732
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Entity Type | Individual
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Provider Name | RANDAL EUGENE SCHLEENBAKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1101 VETERANS DR
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City | LEXINGTON
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State | KY
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Zip | 40502-2235
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Country | US
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Telephone | 859-281-4907
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Fax |
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Provider Business Mailing Address
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Address Line | 1656 LINSTEAD DR
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City | LEXINGTON
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State | KY
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Zip | 40504-2009
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Country | US
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Telephone | 859-260-2011
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 27188
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | 27188
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 27188
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 27188
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License Number State | KY
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