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General NPI Number Information
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NPI Number | 1962423285
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Entity Type | Organization
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Legal Business Name | HOSPITAL INTERNAL MEDICINE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 200 ABRAHAM FLEXNER WAY
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City | LOUISVILLE
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State | KY
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Zip | 40202-2877
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Country | US
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Telephone | 812-948-5120
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Fax |
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Provider Business Mailing Address
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Address Line | 11303 PEPPERMINT ST
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City | PROSPECT
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State | KY
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Zip | 40059-6617
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Country | US
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Telephone | 812-948-5120
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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. AHMAD N NASRATY
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Credential | M.D.
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Telephone | 812-948-5120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 |
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