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NPI 1760045561

NPI 1760045561 : TAYLOR KULIK MD : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1760045561
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR KULIK MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/17/2019
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    Last Update Date     |    07/07/2022
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Provider Practice Location Address
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    Address Line         |    800 ROSE ST 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40536-7593
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    Country              |    US
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    Telephone            |    859-218-2581
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    Fax                  |    859-257-1632
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Provider Business Mailing Address
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    Address Line         |    230 MACNIDER HALL CAMPUS BOX 7593 
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27599-7593
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    Country              |    US
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    Telephone            |    
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    56740
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    250782
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    License Number State |    NC
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