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General NPI Number Information
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NPI Number | 1861669491
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Entity Type | Organization
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Legal Business Name | LARRY AUXIER
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 1220 RICHMOND RD
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City | IRVINE
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State | KY
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Zip | 40336-7232
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Country | US
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Telephone | 606-723-5315
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Fax | 606-723-8669
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Provider Business Mailing Address
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Address Line | 1220 RICHMOND RD
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City | IRVINE
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State | KY
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Zip | 40336-7232
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Country | US
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Telephone | 606-723-5315
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Fax | 606-723-8669
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Authorized Official
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Title or Position | MANAGER
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Name | NEILA RAWLINS
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Credential | CPH.T.
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Telephone | 606-723-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P02013
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License Number State | KY
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