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General NPI Number Information
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NPI Number | 1710926118
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Entity Type | Organization
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Legal Business Name | ACUTECARE ETOWN PLLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 2412 RING RD SUITE 100
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5912
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Country | US
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Telephone | 270-737-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 2412 RING RD SUITE 100
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5912
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Country | US
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Telephone | 270-737-2273
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID ZOELLER
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Credential | MD
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Telephone | 270-737-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 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 #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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