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General NPI Number Information
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NPI Number | 1013151711
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Entity Type | Individual
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Provider Name | JUDY ANN HARRISON APRN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 961 BEASLEY ST STE 170
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City | LEXINGTON
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State | KY
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Zip | 40509-4120
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Country | US
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Telephone | 859-226-5022
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Fax | 859-226-5025
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Provider Business Mailing Address
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Address Line | 650 NEWTOWN PIKE
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City | LEXINGTON
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State | KY
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Zip | 40508-1113
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Country | US
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Telephone | 859-288-2425
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Fax | 859-288-7516
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1060801
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3006997
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License Number State | KY
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