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General NPI Number Information
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NPI Number | 1740587849
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL K. REDMAN PSC
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 7276 BURLINGTON PIKE
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City | FLORENCE
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State | KY
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Zip | 41042-1550
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Country | US
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Telephone | 859-282-8006
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Fax | 859-282-0149
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Provider Business Mailing Address
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Address Line | 7276 BURLINGTON PIKE
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City | FLORENCE
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State | KY
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Zip | 41042-1550
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Country | US
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Telephone | 859-282-8006
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Fax | 859-282-0149
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL KEMBLIN REDMAN
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Credential | D.C.
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Telephone | 859-282-8006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4354
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License Number State | KY
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