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General NPI Number Information
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NPI Number | 1992964944
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Entity Type | Organization
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Legal Business Name | YALINIE MEDICS LLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 850 RIVERVIEW AVE
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City | PINEVILLE
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State | KY
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Zip | 40977-1452
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Country | US
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Telephone | 606-277-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 80 HOSPITAL DR
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City | BARBOURVILLE
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State | KY
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Zip | 40906-7363
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Country | US
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Telephone | 606-545-5539
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Fax | 606-545-5591
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MR. VELUPILLAI WIGNAKUMAR
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Credential | MD
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Telephone | 606-654-2412
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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 | 34425
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 34425
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License Number State | KY
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