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General NPI Number Information
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NPI Number | 1952561920
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Entity Type | Organization
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Legal Business Name | REFRACTIVE SURGERY OF LOUISVILLE PLLC
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 301 E MUHAMMAD ALI BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40202-1511
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Country | US
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Telephone | 502-741-2979
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Fax |
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Provider Business Mailing Address
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Address Line | 6440 SAINT ANDREWS DR
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City | PADUCAH
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State | KY
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Zip | 42001-8751
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Country | US
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Telephone | 270-554-0205
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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. BARBARA J BOWERS
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Credential | MD
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Telephone | 502-741-2979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 29828
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License Number State | KY
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