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General NPI Number Information
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NPI Number | 1851151542
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Entity Type | Organization
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Legal Business Name | GREGORY - ROBINSON VENTURES LLC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 3058 BARDSTOWN RD STE 1108
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City | LOUISVILLE
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State | KY
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Zip | 40205-3020
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Country | US
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Telephone | 502-354-3359
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Fax | 502-694-1059
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Provider Business Mailing Address
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Address Line | 3058 BARDSTOWN RD STE 1108
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City | LOUISVILLE
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State | KY
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Zip | 40205-3020
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Country | US
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Telephone | 502-354-3359
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Fax | 502-694-1059
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Authorized Official
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Title or Position | PHLEBOTOMIST
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Name | KEITH QUITNEZ ROBINSON
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Credential |
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Telephone | 502-767-8286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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