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1700886637

NPI Code Detail

MEDICARE: EDWARD C ADLER AND ASSOCIATES

MEDICARE: EDWARD C ADLER AND ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner
2	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000355586	OTHER	KY	ANTHEM PIN #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000049919	OTHER	KY	ANTHEM PIN #
5	00000023668	OTHER	KY	ANTHEM PIN #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	000000049918	OTHER	KY	ANTHEM PIN #
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	000000049917	OTHER	KY	ANTHEM PIN #

General Provider Information

NPI Number	:	1700886637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD C ADLER AND ASSOCIATES

Provider Business Mailing Address
First Line	:	4001 DUTCHMANS LN
Second Line	:	SUITE 7B
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4714
Country	:	US
Telephone Number	:	502-896-4711
Fax Number	:	502-896-4791

Provider Business Practice Location Address
First Line	:	4001 DUTCHMANS LN
Second Line	:	SUITE 7B
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4714
Country	:	US
Telephone Number	:	502-896-4711
Fax Number	:	502-896-4791

Authorized Official
Title or Position	:	PHYSICAIN
Name	:	DR. EDWARD ADLER
Credential	:
Telephone Number	:	502-896-4711

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	09/16/2010

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Directions to “EDWARD C ADLER AND ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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