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General NPI Number Information
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NPI Number | 1801096136
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Entity Type | Organization
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Legal Business Name | KENTUCKY PEDIATRIC OPHTHALMOLOGY AND STRABISMUS, PLLC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 1102 LYNDON LN SUITE A
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City | LOUISVILLE
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State | KY
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Zip | 40222-4318
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Country | US
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Telephone | 502-426-0307
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Fax | 502-426-3920
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Provider Business Mailing Address
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Address Line | 1102 LYNDON LN SUITE A
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City | LOUISVILLE
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State | KY
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Zip | 40222-4318
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Country | US
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Telephone | 502-426-0307
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Fax | 502-426-3920
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN M. HOWELL
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Credential | M.D.
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Telephone | 502-426-0307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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