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General NPI Number Information
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NPI Number | 1891388005
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Entity Type | Individual
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Provider Name | MARIA CHRISTINE LISKA PA
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Gender | Female
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 141 N EAGLE CREEK DR STE 200
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City | LEXINGTON
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State | KY
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Zip | 40509-2538
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Country | US
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Telephone | 859-323-9897
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Fax | 859-257-0629
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Provider Business Mailing Address
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Address Line | 1221 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2701
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Country | US
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Telephone | 859-258-6200
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Fax | 859-258-6203
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2740
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2740
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2740
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License Number State | KY
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