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General NPI Number Information
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NPI Number | 1013855360
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Entity Type | Organization
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Legal Business Name | VANTAGE INTEGRATIVE PSYCHIATRY
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 120 W WALNUT ST
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City | MAYFIELD
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State | KY
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Zip | 42066-2285
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Country | US
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Telephone | 270-515-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 120 W WALNUT ST
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City | MAYFIELD
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State | KY
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Zip | 42066-2285
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Country | US
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Telephone | 270-515-5999
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. ERICA PRICE
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Credential | DNP
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Telephone | 270-705-6675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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