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General NPI Number Information
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NPI Number | 1902107071
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Entity Type | Organization
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Legal Business Name | LHC PLLC
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 3217 SUMMIT SQUARE PL SUITE 100
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City | LEXINGTON
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State | KY
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Zip | 40509-2641
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Country | US
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Telephone | 859-263-8082
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Fax | 859-263-8775
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Provider Business Mailing Address
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Address Line | 3217 SUMMIT SQUARE PL SUITE 100
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City | LEXINGTON
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State | KY
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Zip | 40509-2641
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Country | US
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Telephone | 859-263-8082
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Fax | 859-263-8775
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Authorized Official
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Title or Position | MEMBER
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Name | JEREMY KRUGER
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Credential |
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Telephone | 859-263-8082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4509
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 004175
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 41748
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License Number State | KY
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