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General NPI Number Information
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NPI Number | 1790741163
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Entity Type | Individual
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Provider Name | PAMELA R KOUNS PA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 740 SOUTH LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40536
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Country | US
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Telephone | 859-323-8082
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Fax | 859-257-5901
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Provider Business Mailing Address
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Address Line | 2333 ALUMNI PARK PLAZA SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-4022
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Country | US
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Telephone | 859-218-5677
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Fax | 859-257-7899
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA876
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA876
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License Number State | KY
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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 | PA876
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License Number State | KY
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