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General NPI Number Information
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NPI Number | 1811097231
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Entity Type | Organization
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Legal Business Name | NEW LEXINGTON CLINIC, PSC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 1225 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2701
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Country | US
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Telephone | 859-258-4627
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Fax | 859-258-6127
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Provider Business Mailing Address
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Address Line | PO BOX 11790
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City | LEXINGTON
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State | KY
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Zip | 40578-1790
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Country | US
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Telephone | 859-258-6000
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Fax | 859-258-6123
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KENNY CRAIK
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Credential |
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Telephone | 859-258-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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