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General NPI Number Information
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NPI Number | 1982603353
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Entity Type | Individual
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Provider Name | SAROJ B. DUBAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 101 PROSPEROUS PLACE SUITE 300
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City | LEXINGTON
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State | KY
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Zip | 40509-1836
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Country | US
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Telephone | 859-271-3114
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Fax | 859-271-0220
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Provider Business Mailing Address
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Address Line | PO BOX 23955
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City | LEXINGTON
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State | KY
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Zip | 40523-3955
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Country | US
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Telephone | 859-271-3114
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Fax | 859-271-0220
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 32292
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 32292
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 32292
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License Number State | KY
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