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General NPI Number Information
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NPI Number | 1821000746
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Entity Type | Organization
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Legal Business Name | NOEL Z. RELOJ,SR, MD, PSC
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 551 WESTPORT RD SUITE C
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2920
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Country | US
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Telephone | 270-769-6330
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Fax | 270-766-1032
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Provider Business Mailing Address
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Address Line | 551 WESTPORT RD SUITE C
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2920
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Country | US
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Telephone | 270-769-6330
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Fax | 270-766-1232
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Authorized Official
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Title or Position | M.D./PRESIDENT
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Name | NOEL ZABAL RELOJ SR.
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Credential | M.D.
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Telephone | 270-769-6330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 26536
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License Number State | KY
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