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General NPI Number Information
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NPI Number | 1801142435
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Entity Type | Organization
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Legal Business Name | COMPLIANCE ADVANTAGE LLC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 232 N PLAZA DR
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2511
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Country | US
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Telephone | 859-881-3131
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Fax | 859-881-3133
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Provider Business Mailing Address
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Address Line | 232 NORTH PLAZA DRIVE
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-8060
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Country | US
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Telephone | 859-881-3131
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Fax | 859-881-3133
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Authorized Official
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Title or Position | CREDENTIALING
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Name | KIM SHEETS
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Credential |
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Telephone | 859-881-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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