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General NPI Number Information
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NPI Number | 1811168891
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Entity Type | Organization
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Legal Business Name | BAPTIST PHYSICIANS LEXINGTON, INC
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 2101 NICHOLASVILLE RD SUITE 204
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City | LEXINGTON
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State | KY
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Zip | 40503-2518
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Country | US
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Telephone | 859-260-4330
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Fax | 856-260-4334
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Provider Business Mailing Address
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Address Line | 2101 NICHOLASVILLE RD SUITE 204
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City | LEXINGTON
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State | KY
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Zip | 40503-2518
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Country | US
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Telephone | 859-260-4330
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Fax | 859-260-4334
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM SISSON
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Credential |
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Telephone | 859-260-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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