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General NPI Number Information
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NPI Number | 1952300071
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Entity Type | Organization
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Legal Business Name | CYPRESS MEDICAL ASSOCIATES, PSC
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3430 NEWBURG RD
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City | LOUISVILLE
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State | KY
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Zip | 40218-2497
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Country | US
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Telephone | 502-774-6100
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Fax | 502-774-6135
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Provider Business Mailing Address
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Address Line | 2500 W BROADWAY SUITE 200
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City | LOUISVILLE
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State | KY
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Zip | 40211-1081
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Country | US
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Telephone | 502-774-6100
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Fax | 502-774-6157
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY REMSON
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Credential | MD
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Telephone | 502-454-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | KY
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