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General NPI Number Information
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NPI Number | 1952413643
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Entity Type | Individual
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Provider Name | KASSI MICHELLE MARSHALL MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 1733 HARRODSBURG RD
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City | LEXINGTON
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State | KY
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Zip | 40504-3277
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Country | US
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Telephone | 859-276-5344
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Fax | 859-278-7690
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Provider Business Mailing Address
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Address Line | 12579 MAIN ST STE 101
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City | MARTIN
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State | KY
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Zip | 41649-7400
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Country | US
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Telephone | 606-285-0681
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Fax | 606-285-9843
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42501
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License Number State | KY
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