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General NPI Number Information
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NPI Number | 1841295409
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Entity Type | Individual
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Provider Name | KENNETH J PAHREN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 11137 US HIGHWAY 52
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City | BROOKVILLE
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State | IN
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Zip | 47012-7901
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Country | US
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Telephone | 765-647-5126
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Fax | 765-647-5900
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | BATESVILLE
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State | IN
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Zip | 47006-0223
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Country | US
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Telephone | 812-933-5441
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Fax | 812-933-5446
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01064537A
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License Number State | IN
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