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General NPI Number Information
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NPI Number | 1891836581
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Entity Type | Organization
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Legal Business Name | STANFORD FAMILY MEDICINE & OBSTETRICS PSC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 19 ABES PLAZA OLD HUSTONVILLE RD
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City | LIBERTY
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State | KY
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Zip | 42539
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Country | US
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Telephone | 606-787-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 107 METKER TRL STE A P.O. BOX 388
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City | STANFORD
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State | KY
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Zip | 40484-1049
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Country | US
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Telephone | 606-365-8338
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NAREN JAMES
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Credential | M.D.
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Telephone | 606-365-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 30199
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License Number State | KY
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