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General NPI Number Information
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NPI Number | 1982952107
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Entity Type | Organization
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Legal Business Name | LEXINGTON HEALTH, PLLC
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Dates
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Enumeration Date | 08/20/2012
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Last Update Date | 08/20/2012
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Provider Practice Location Address
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Address Line | 1031 WELLINGTON WAY SUITE 165
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City | LEXINGTON
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State | KY
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Zip | 40513-1258
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Country | US
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Telephone | 855-239-6299
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Fax | 859-201-1368
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Provider Business Mailing Address
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Address Line | 1031 WELLINGTON WAY SUITE 165
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City | LEXINGTON
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State | KY
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Zip | 40513-1258
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Country | US
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Telephone | 855-239-6299
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Fax | 859-201-1368
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Authorized Official
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Title or Position | AUTHORIZED DELEGATE
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Name | MR. RIZWAN ALI
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Credential | MD
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Telephone | 855-239-6299
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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