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General NPI Number Information
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NPI Number | 1780861575
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Entity Type | Individual
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Provider Name | JULIE GREATHOUSE GANDEE D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 801 EASTERN BYP
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City | RICHMOND
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State | KY
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Zip | 40475-2751
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Country | US
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Telephone | 859-625-3297
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Fax | 859-625-3596
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Provider Business Mailing Address
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Address Line | PO BOX 34166
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City | LEXINGTON
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State | KY
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Zip | 40588-4166
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Country | US
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Telephone | 859-625-3125
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Fax | 859-625-3596
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 03099
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License Number State | KY
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