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General NPI Number Information
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NPI Number | 1750307393
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Entity Type | Organization
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Legal Business Name | AMIN'S FAMILY PRACTICE ASSOCIATES , PSC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 1505 S 7TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40208-1710
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Country | US
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Telephone | 502-637-1005
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Fax | 502-635-0046
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Provider Business Mailing Address
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Address Line | 1505 S 7TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40208-1710
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Country | US
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Telephone | 502-637-1005
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Fax | 502-635-0046
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAJAN R AMIN
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Credential | M.D.
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Telephone | 502-637-1005
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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 | 19340
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care 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 | 208D00000X
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Taxonomy Name | General Practice 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 | 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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