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General NPI Number Information
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NPI Number | 1821450453
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Entity Type | Organization
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Legal Business Name | GOULD'S DISCOUNT MEDICAL INC.
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 3901 DUTCHMANS LN SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40207-4722
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Country | US
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Telephone | 502-491-2000
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Fax | 502-495-2476
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Provider Business Mailing Address
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Address Line | 3901 DUTCHMAN'S LANE SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40207-4726
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Country | US
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Telephone | 502-491-2000
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Fax | 502-495-2476
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Authorized Official
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Title or Position | PRESIDENT-OWNER-DIRECTOR
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Name | MR. EDMUND L. GOULD
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Credential |
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Telephone | 502-491-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 0285
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License Number State | KY
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