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General NPI Number Information
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NPI Number | 1912945437
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Entity Type | Individual
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Provider Name | KIMBERLY ELAINE APPLEGATE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 800 ROSE ST STE HX314B
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-323-2105
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Fax |
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Provider Business Mailing Address
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Address Line | 800 ROSE ST STE HX314B
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-323-2105
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Fax |
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | TP588
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 01046871
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01046871
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 49920
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License Number State | KY
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