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General NPI Number Information
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NPI Number | 1972508869
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Entity Type | Individual
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Provider Name | JAMES F BARDGETT JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 20 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017
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Country | US
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Telephone | 859-344-1600
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Fax | 859-344-0091
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-344-1600
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Fax | 859-344-0091
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25760
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License Number State | KY
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